Acute traumatic ventricular septal rupture

Olsovsky, Mary R.; Topaz, On; DiSciascio, Germano; Vetrovec, George W.

doi:10.1016/s0002-8703(96)90193-3

Cited by 37 publications

(29 citation statements)

References 15 publications

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“…These defects are usually congenital and only a few cases of acquired Gerbode defect are reported, mostly due to infective endocarditis in patients with VSD [2, 3]. Occasional reports of Gerbode defect following trauma [4], myocardial infarction [5], and aortic valve replacement [6] are also reported. We report the successful device closure of a Gerbode defect acquired following the surgical closure of a VSD.…”

Section: Introductionmentioning

confidence: 99%

Successful device closure of an acquired Gerbode defect

Trehan

Ramakrishnan

Goyal

2006

Cathet Cardio Intervent

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Left ventricle to right atrial communications, collectively known as Gerbode defects, are usually congenital defects and surgical closure remains the treatment of choice. We report a rare case of Gerbode defect acquired following surgical closure of a ventricular septal defect. The defect was successfully closed percutaneously with an Amplatzer ventricular septal occluder. The patient remained symptom free with optimal result on echo at 6 months of follow-up. This is the first reported case of successful device closure of an acquired Gerbode defect.

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Section: Introductionmentioning

confidence: 99%

Successful device closure of an acquired Gerbode defect

Trehan

Ramakrishnan

Goyal

2006

Cathet Cardio Intervent

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“…4,5 Echocardiography is a reliable European Heart Journal: Acute Cardiovascular Care 4 (1) non-invasive tool to establish the presence of such a VSD and therefore first choice for diagnosis. 6 The technique can be performed rapidly allowing the examiner to identify pericardial effusion, recognize septal defects, evaluate cardiac wall motion and examine valvular integrity.…”

Section: Discussionmentioning

confidence: 99%

Transcatheter closure of a traumatic ventricular septum defect resulting from a stab wound

Dedic

Nieman

Bogers

et al. 2013

European Heart Journal: Acute Cardiovascular Care

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A 25-year-old man with a ventricular septal defect resulting from a stab wound to his chest was admitted to our hospital. Because of extensive comorbidity and favourable location, transcatheter closure with an Amplatzer device was preferred over surgical repair. Ventricular septal defects are an uncommon complication of cardiac trauma, but when they do occur from this cause, they often have more dramatic consequences. Transcatheter closure is an attractive, less-invasive alternative in patients with increased surgical risk, multiple previous surgical interventions, or poorly accessible defects.

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“…La afectación inicial del septo interventricular, de difícil valoración en situación de inestabilidad hemodinámica grave con taquicardia importante, fue también una contusión complicada con la formación de un hematoma que progresivamente fue disecando el septo longitudinalmente hacia el ápex hasta producirse la rotura completa de éste, lo que constituye el máximo exponente del traumatismo cardíaco cerrado, junto con la rotura de la pared libre o de los músculos papilares. El cateterismo cardíaco derecho en casos de RSV permite evaluar la sobrecarga cardíaca derecha, la presión de arteria pulmonar (PAP) y el GC, y adicionalmente aporta un interesante dato diagnóstico al comparar la PO 2 y la SvO 2 medida en la arteria pulmonar con la medida en aurícula derecha y/o vena cava superior 5,14 .…”

Section: Discussionunclassified

“…Entre los años 1970 y 2005 se habían publicado 58 casos en la literatura inglesa, con una mortalidad general del 19%, pero con amplias variaciones según el tamaño de la rotura, la necesidad de cirugía correctora urgente y las lesiones traumáticas concomitantes [1][2][3][4][5] . Parmley et al 6 encontraron rotura del septo interventricular en el 5,5% de las autopsias de fallecidos con trauma torá-cico cerrado, que frecuentemente se relacionaban con otras lesiones cardíacas: contusión o rotura miocárdi-ca, traumatismo pericárdico o valvular, o infarto miocárdico [7][8][9][10] .…”

Section: Introductionunclassified