Traumatic coronary sinocameral fistula from a penetrating cardiac injury: case report and review of the literature.

Clinically apparent penetrating cardiac wounds require emergent surgical therapy without the theoretical benefit of preoperative evaluation apart from the physical examination. Residual intracardiac injuries discovered following the successful resuscitation and repair of immediate life-threatening cardiac wounds should be sought in survivors of chest trauma who demonstrate new regurgitant murmurs or evidence of congestive heart failure. To our knowledge, we report here the second case of a traumatic left ventricle-to-coronary sinus fistula, along with recommendations for its management.