Transcatheter Closure of Traumatic Ventricular Septal Defecta

Pesenti-Rossi, David; Godart, François; Dubar, Arnaud; Rey, Christian

doi:10.1378/chest.123.6.2144

Cited by 38 publications

(30 citation statements)

References 7 publications

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“…Although there are reports of chronic hemolysis, it is usually self-resolving. 3 Like previous cases, 4 , 5 we encountered the same complication. Our patient remained asymptomatic and the hemolysis resolved without the need of blood transfusions.…”

Section: Discussionsupporting

confidence: 72%

Transcatheter Closure of a Traumatic VSD with an ASD Occluder

Santos¹,

Guedes²,

Marqués³

et al. 2018

Arquivos Brasileiros De Cardiologia

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Section: Discussionsupporting

confidence: 72%

Transcatheter Closure of a Traumatic VSD with an ASD Occluder

Santos¹,

Guedes²,

Marqués³

et al. 2018

Arquivos Brasileiros De Cardiologia

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“…Specifically, the indication of emergent surgical repair of VSR is sometimes disputed. Previous reports suggest that emergent surgery for traumatic VSR should be considered when Qp/Qs exceeds 2.0 or heart failure is present, in part because small VSRs often close spontaneously [3, 4]. The present case however suggests that emergent surgical repair of traumatic VSR should be considered because rapid hemodynamic collapse that necessitates early closure of the VSR can be observed despite a relatively low shunt ratio.…”

Section: Case Presentationmentioning

confidence: 70%

Traumatic ventricular septal rupture associated with rapid progression of heart failure despite low Qp/Qs ratio: a case report

Murakawa

Yoshida

Okada

et al. 2016

J Cardiothorac Surg

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BackgroundVentricular septal rupture (VSR) secondary to blunt chest trauma is rare and associated with a diverse range of symptoms and clinical courses as well as disease severity. We present a case of traumatic VSR in which rapid progression of heart failure was observed in spite of relatively low pulmonary to systemic blood flow (Qp/Qs) ratio.Case presentationA 40-year-old male was transported to the emergency department approximately 12 h after blunt chest trauma. VSR was diagnosed by echocardiography, and right heart catheterization revealed a Qp/Qs ratio of 1.52. Although medical treatment was initially attempted, subsequent rapid progression of heart failure necessitated emergent surgical repair of VSR.ConclusionsBecause small, asymptomatic VSR often close spontaneously, surgical repair of traumatic VSR is indicated when the shunt rate is relatively large or heart failure is present. However, the present case highlights the need to consider emergent surgical repair of traumatic VSR, even when the shunt rate is relatively small.

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“…14 We found evidence of acute traumatic ventricular septal defect (VSD) in those patients with conduction delay on the electrocardiogram. Although posttraumatic VSD has been reported in 4.5% of those with penetrating cardiac injury, 15 there has yet to be a clinically reported correlation between the higher mortality seen in those with conduction abnormalities and the fi nding of traumatic VSD.…”

Section: Discussionmentioning

confidence: 99%