Repair of traumatic ventricular septal defect and left ventricular aneurysm after blunt chest trauma

Shi, Tao; Li, Rui; Zhang, Changwei; Guo, Shaoxian

doi:10.1093/icvts/ivaa217

Cited by 3 publications

(3 citation statements)

References 4 publications

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“…The self-healing rate of APVSD was high, but its mechanism is still unclear. Study had shown that inflammatory responses may be involved in this process [2][3][4]. In this study, in order to study the role of IL-1β, IL-6, TGF-β, and TNF-α in the formation of APVSD, children with APVSD who were surgically treated in the First Hospital of Hebei Medical University and Anhui Children's Hospital were selected.…”

Section: Introductionmentioning

confidence: 99%

[Retracted] Study on Inflammatory Factors in Aneurysmal Perimembranous Ventricular Septal Defect in Congenital Heart Disease

Zhou

Liu

Wang

et al. 2022

BioMed Research International

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To detect the expression of inflammatory factors such as interleukin-1β (IL-1β), interleukin-6 (IL-6), transforming growth factor (TGF-β), and tumor necrosis factor (TNF-α) in the tumor tissue of ventricular septal defect (VSD) in congenital heart disease and to explore the role of inflammatory response in the formation of aneurysmal perimembranous VSD(APVSD). Children with APVSD of congenital heart disease treated by surgery were selected and divided into true aneurysmal perimembranous group (TAP group) and pseudoaneurysmal perimembranous group (PAP group) according to echocardiography and surgical findings. There were 15 children in the TAP group and 31 in the PAP group. The aneurysmal perimembranous tissue of the two groups of children was collected during the operation. IL-1β, IL-6, TGF-β, and TNF-α were positively expressed in the aneurysmal perimembranous tissue of the two groups, and the expression levels of all inflammatory factors in the PAP group were higher than those in the TAP group, and the difference was statistically significant ( P < 0.05 ). The expression levels of IL-1β, IL-6, TGF-β, and TNF-α in the aneurysmal perimembranous tissue of the two groups were negatively correlated with the width of the APVSD breach. IL-1β, IL-6, TGF-β, and TNF-α may be involved in the occurrence and development of APVSD through inflammatory mechanism.

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Section: Introductionmentioning

confidence: 99%

[Retracted] Study on Inflammatory Factors in Aneurysmal Perimembranous Ventricular Septal Defect in Congenital Heart Disease

Zhou

Liu

Wang

et al. 2022

BioMed Research International

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“…3 The post-traumatic ventricular aneurysm is caused by either a myocardial contusion or ischemia due to trauma-induced thrombosis. 4,5 In our case, considering the tear of the septal branches, we suppose that the detachment of the IVS from the apical wall caused by mechanical compression was the primary lesion, which was followed by the aneurysmal dilatation of the injured apical wall.…”

Section: Discussionmentioning

confidence: 76%

Surgical treatment for a child with traumatic ventricular septal rupture and ventricular aneurysm

Tomotsuka,

Ikeda,

Ide

et al. 2024

Asian Cardiovasc Thorac Ann

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A five-year-old boy was diagnosed with the ventricular septal rupture and ventricular aneurysm after blunt chest trauma in child abuse. Because of the intractable heart failure, he underwent operation in subacute period. Postoperative course was uneventful. The blunt cardiac injury in children can be caused by mild trauma and can be lethal. Surgical intervention should be considered when the clinical condition is unstable.

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“…Серед кардіальних причин розвитку аневризм лівого шлуночка (АЛШ) окрім трансмурального інфаркту міокарда виявляють фістули коронарних артерій, інтрамуральний хід коронарних артерій, гі-пертрофічну кардіоміопатію, міокардит, аритмогенну кардіоміопатію правого шлуночка [1,2,3]. У літературі представлено поодинокі випадки виникнення АЛШ на тлі системних захворювань: інфекційного генезу (хвороба Чагаса, хвороба Бехчета, туберкульоз), сполучної тканини (системний червоний вовчак, саркоїдоз), хвороб накопичення глікогену, синдрому гіперімуноглобуліну Е, а також формування АЛШ унаслідок травми грудної клітки [1,[4][5][6][7][8][9][10][11][12][13][14][15][16][17][18]. АЛШ у військовослужбовців є результатом несвоєчасної реваскуляризації інфаркт-залежної артерії [18], вогнепального поранення серця [19], травми грудної клітки [2,20].…”

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Urgent Cardiosurgical Treatment of a Military Servant with a Moving Thrombus in the Area of the Left Ventricular Apical Aneurysm (Case Report)

Gogayeva,

Nudchenko,

Malysheva

et al. 2024

ujcvs

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Against the background of military operations, post-traumatic stress disorder, the progression of the atherosclerotic process is observed, which can lead to myocardial infarction even in young people. Left ventricular aneurysm (LVA) in military personnel is the result of untimely revascularization of an infarct-related artery, gunshot wound to the heart, chest trauma, etc. The presence of a dyskinetic area promotes formation of blood clots in the LVA cavity. LVA thrombosis is associated with an increased risk of embolism, ischemic stroke, and death. Case description. A 37-year-old military servant A. was urgently hospitalized to the National Amosov Institute of Cardiovascular Surgery of the National Academy of Medical Sciences of Ukraine with a mobile thrombus in the area of LVA, size 4.5 x 3 cm, with signs of lysis and a threat of separation according to echo data. The patient was found to suffer Q-wave myocardial infarction 5 months ago; at the time of examination there was decompensation of the condition and a decrease in the left ventricular contractility to 34%. The patient underwent urgent operation: on-pump coronary artery bypass grafting, LVA resection with thrombectomy. The duration of the operation was 7 hours, the aortic cross-clamp time was 53 minutes, the perfusion time was 93 minutes, the blood loss was 500 ml. The postoperative period was uneventful. The patient was discharged on the 7th day with improvement, the ejection fraction was 40%. Conclusion. The lack of an opportunity to conduct timely electrocardiography and echo for military personnel with acute chest pain reduces the chances of diagnosis and treatment of myocardial infarction within the therapeutic window, which leads to the occurrence of complicated forms of coronary heart disease, namely LVA. Echo is of crucial importance in deciding on emergency cardiac surgery for thrombosed LVA.

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Repair of traumatic ventricular septal defect and left ventricular aneurysm after blunt chest trauma

Cited by 3 publications

References 4 publications

[Retracted] Study on Inflammatory Factors in Aneurysmal Perimembranous Ventricular Septal Defect in Congenital Heart Disease

[Retracted] Study on Inflammatory Factors in Aneurysmal Perimembranous Ventricular Septal Defect in Congenital Heart Disease

Surgical treatment for a child with traumatic ventricular septal rupture and ventricular aneurysm

Urgent Cardiosurgical Treatment of a Military Servant with a Moving Thrombus in the Area of the Left Ventricular Apical Aneurysm (Case Report)

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