Multiple Ventricular Septal Rupture After Blunt Trauma

Pillai, Rajesh S.; Prasad, Preetha; Nair, Rajesh Gopalan; Pillai, Sisir Balakrishna; Puthenveetil, Biju Thazhathu; Kuriakose, Kudakachira Mathew

doi:10.1016/j.athoracsur.2012.11.054

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“…The common injuries include cardiac contusion, valvular damage, and aortic insufficiency [2,3]. Myocardial contusion is the most frequent cardiac injury following BCT and occurs in 16-76% of patients in motor vehicle accidents; however, traumatic VSR is a rare complication of BCT [1,4,6]. VSR may be delayed for several hours to several days after trauma, and its clinical presentation varies from immediate death to complete spontaneous closure [7].…”

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confidence: 99%

Ventricular septal rupture after blunt chest trauma: a case report

et al. 2022

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Cardiac injury, including myocardial contusion and valvular damage, is a common complication of blunt chest trauma; however, traumatic ventricular septal rupture is a rare complication. We encountered a rare case of ventricular septal rupture following blunt chest trauma that was successfully repaired by emergency surgery. The mechanism underlying rupture may involve acute compression of the heart between the sternum and the vertebral column when the ventricle is filled, thereby causing a sudden increase in intraventricular pressure and leading to septal rupture. Emergency operation should be considered in cases of large defects and hemodynamic instability.

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