Isolated fracture of the ventricular septum after blunt chest trauma

Schaffer, R; Berdat, Pascal A.; Seiler, Christian; Carrel, Thierry

doi:10.1016/s0003-4975(99)00044-2

Cited by 15 publications

(3 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…According to some authors, the initial small traumatic tear leads to secondary defect that is larger, which becomes apparent with delay [7]. In clinical practice, this warrants high vigilance even when initial cardiac assessments are negative for VSD.…”

Section: Discussionmentioning

confidence: 99%

Ventricular Septal Defect after Blunt Trauma in a Case of Preexisting Prosthetic Mitral Valve

Bhargava¹,

Chirantan²,

Virmani³

et al. 2014

WJCS

View full text Add to dashboard Cite

We present a case of an isolated large ventricular septal defect (VSD) following blunt chest trauma in a motor vehicle accident in the patient with preexisting mechanical mitral valve. Transthoracic echocardiography revealed a large muscular VSD with significant left to right shunt along with septal edema. Surgical repair was performed in view of Qp:Qs of 2.5 with significant hemodynamic instability despite intra-aortic balloon pump. The ventricular septal defect was found in apical muscular portion of the interventricular septum, which was closed through left ventriculotomy. We here discuss the possible mechanisms of damage and importance of timely surgery. To conclude, minor looking external injury might contain devastating damage inside, especially with patients on anti-coagulant therapy.

show abstract

Section: Discussionmentioning

confidence: 99%

Ventricular Septal Defect after Blunt Trauma in a Case of Preexisting Prosthetic Mitral Valve

Bhargava¹,

Chirantan²,

Virmani³

et al. 2014

WJCS

View full text Add to dashboard Cite

show abstract

“…13 Our literature review of the successful repair of combined VSD and pseudo-aneurysm following blunt trauma only found five such cases. 14-18 Once cardiac injury is suspected, structural cardiac damage should be overruled using echocardiography, the echocardiography should be repeated after several days, since delayed rupture is possible after blunt force trauma of.…”

Section: Commentmentioning

confidence: 97%

Ventricular septal necrosis after blunt chest trauma

Sabzi¹,

Sahebjamee²,

Zokaei³

et al. 2012

J Inj Violence Res

View full text Add to dashboard Cite

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.

show abstract

“…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