Ventricular Septal Perforation after Blunt Chest Trauma: A Case Report

Harada, Takeaki; Fukae, Kouji; Ando, Yusuke; Oe, Masahiro; Matsunaga, Shougo; Yatsunami, Koichi; Matsuo, Osamu; Nishihara, Takahiro

doi:10.9794/jspccs.32.50

Cited by 1 publication

(1 citation statement)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Various blunt chest traumas, ranging from strong external force experienced in traffic accidents to minor chest bruises from daily activities, have been reported to cause VSP through different mechanisms such as the following: cardiac compression between the sternum and the spine, cardiac contusion, and increased intracardiac pressure induced by the application of external force. The condition may develop even in the absence of presentations such as external scars, bleeding, or spots at initial examination [3] . In some patients, as in the present case, heart murmur is audible immediately after chest trauma; in others, however, it may not be detected until up to 1 month after the trauma.…”

Section: Discussionmentioning

confidence: 99%

Treatment of ventricular septal perforation caused by blunt trauma using the right ventricle approach: A case report

Yamasawa

Kanaoka

Furusawa

et al. 2021

Journal of Cardiology Cases

View full text Add to dashboard Cite

Traumatic ventricular septal perforation (VSP) is a rare condition that can occur following chest trauma and can lead to heart failure. Herein, a case of VSP caused by blunt chest trauma successfully closed using the double-patch technique via the right ventricle after medial sternotomy is presented. This case report highlights the necessity of emergency surgery in the acute phase of traumatic VSP if heart failure is difficult to control. This technique was useful for acute surgery. < Learning objective: Traumatic ventricular septal perforation (VSP) can occur following chest trauma. The timing of surgery depends on the severity of heart failure and the urgency of other traumas. Since the left ventricular pressure is higher than the right ventricular pressure, complete hemostasis of the left ventricle is difficult. Hence, traumatic VSP might be successfully approached and closed via the right ventricle. Here we report a successful closure of traumatic VSP after blunt chest trauma using the right ventricular approach through medial sternotomy.>

show abstract

Section: Discussionmentioning

confidence: 99%