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  • Title: Complete heart block following penetrating chest trauma in operation Iraqi freedom.
    Author: Eckart RE, Falta EM, Stewart RW.
    Journal: Pacing Clin Electrophysiol; 2008 May; 31(5):635-8. PubMed ID: 18439185.
    Abstract:
    We present a 30-year-old US army soldier who had penetrating chest trauma from a road side explosive with focal cardiac injury. The soldier had penetration of his right atrium and subsequent traumatic membranous ventricular septal defect and complete heart block. He was brought to a Combat Support Hospital where fortuitously the assigned trauma surgeon on-call was a cardiothoracic surgeon, and the assigned trauma intensivist on-call was a cardiac electrophysiologist. Of course, the only source they knew of a pacemaker was halfway around the world. We discuss the management of this injury in an austere combat environment.
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