Repair of ventricular septal defect and left ventricular aneurysm following blunt chest trauma

Stamm, Christof; Feit, Lloyd R.; Geva, Tal; Nido, Pedro J. del

doi:10.1016/s1010-7940(02)00197-5

Cited by 19 publications

(13 citation statements)

References 7 publications

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“…This may occur as a result of direct cardiac impact or when the heart is compressed between the sternum and the spine. [3578111520] It has also been suggested that a healed congenital VSD with a weakened ventricular septum may re-open with significant blunt trauma to the chest. [6] Delayed inflammatory rupture is thought to occur when cardiac injury causes localised edema with disruption of microvascular flow, leading to infarction, septal liquefaction, and perforation.…”

Section: Discussionmentioning

confidence: 99%

Ventricular septal defect following blunt chest trauma

Ryan

Skinner²,

Rodseth

2012

J Emerg Trauma Shock

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We present a 32-year-old male with ventricular septal defect (VSD) following blunt chest trauma. Traumatic VSD is a rare but potentially life-threatening injury, the severity, course and presentation of which are variable. While the diagnosis of myocardial injury may be challenging, cardiac troponins are useful as a screening and diagnostic test. The proposed pathophysiological mechanisms in the development of traumatic VSD are early mechanical rupture and delayed inflammatory rupture. We conducted a literature review to investigate the pathogenesis, distribution of patterns of presentation, and the associated prognoses in patients with VSD following blunt chest trauma. We found that traumatic VSDs diagnosed within 48 hours were more likely to be severe, require emergency surgery and were associated with a higher mortality. Children with traumatic VSDs had an increased mortality risk. Smaller lesions may be managed conservatively but should be followed up to detect late complications. In both groups elective repair was associated with a good outcome.

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Section: Discussionmentioning

confidence: 99%

Ventricular septal defect following blunt chest trauma

Ryan

Skinner²,

Rodseth

2012

J Emerg Trauma Shock

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“…12 Whereas, when a large unrestrictive intraventricular communication exists, homodynamic decompensation develops more rapidly. In our case, the VSD was very large and caused a significant left to right shunt.…”

Section: Commentmentioning

confidence: 99%

Ventricular septal necrosis after blunt chest trauma

Sabzi¹,

Sahebjamee²,

Zokaei³

et al. 2012

J Inj Violence Res

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Abstract:Ventricular Septal Defect (VSD) after blunt chest trauma is a very rare traumatic affection. We report here a case of blunt chest injury-related VSD and pseudoaneurysm. A 30-year old male truck driver was referred from a trauma center to our hospital seven days after a blunt chest trauma and rib fracture. The patient had severe pulmonary edema and echocardiography showed large VSD. Several mechanisms are involved in the pathogenesis of this affection including an acute compression of the heart muscle between the sternum and the spine, leading to excessive changes in the intrathoracic and most likely the intracardiac pressure after blunt chest injury. Traumatical patients with the same symptoms may be at risk of sudden death. Therefore, a high grade of suspicion is mandatory even without solid evidence of myocardial damage on the initial evaluation. In continue some hidden angles of this case was discussed. Given the prognostic implications of traumatic VSD with associated pseudoaneurysm, its detection has critical value for preventing its clinical sequelae.

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“…[2,3,13,14] Ül-kemizden de, künt göğüs travma sonrası VSD gelişti-ğini bildirilen çalışmalar [13,15] mevcut olup Kaplan ve arkadaşları [15] koroner arter lezyonu gelişen üç olguya LAD-LİMA baypası yapmışlardır. Bizim hastamı-zın da anjiyokardiyografik inceleme sonrasında cerrahi girişimi planlanmış, ancak ailenin isteği üzerine bir üst merkeze gönderilmiştir.…”

Section: Olgu Sunumuunclassified

“…[2] Çocuk ve ergenlerin göğüs kafesi yapılarının esnek olması nedeniyle dışarıdan bakıldığında görünür bir travma belirtisi olmadan kalp travması görülebilmektedir. [1,3] Postmortem yapılan bir çalışmada ise %15 oranında kalp travmasına rastlanmıştır. [4] Çocuklarda kalp travmaları genellikle olgu sunumları şeklinde bildirilmiştir.…”

unclassified

“…[4] Çocuklarda kalp travmaları genellikle olgu sunumları şeklinde bildirilmiştir. [2,3,5] Bu yazıda, travma sonrasında kalp muayenesinin ve emniyet kemerinin önemini vurgulamak amacıyla, trafik kazasına bağlı gelişen künt göğüs travması sonrasında koroner arter zedelenmesine bağlı ventriküler septal defekt (VSD) oluşan 7 yaşındaki bir erkek ço-cuk sunuldu.…”

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