Missed Traumatic Conoventricular Septal Defect: A Case Report
Keywords:Traumatic ventricular septal defect, Heart injury, Penetrating cardiac injury
Traumatic ventricular septal defects (VSDs) after penetrating trauma to the left chest are rare. Most of the traumatic VSDs are located in the muscular ventricular septum, and a few reports place them in the membranous ventricular septum. There has been no report of traumatic conoventricular VSD by penetrating trauma. We present a case of penetrating cardiac injury (PCI). The rupture of the right ventricular free wall was found and repaired in emergency operation. This is the first report of the use of auricular forceps to control cardiac rupture bleeding. After operation, we found traumatic conoventricular VSD, which was repaired under cardiopulmonary bypass.
Asfaw I, Thoms NW, Arbulu A. 1975. Interventricular septal defects from penetrating injuries of the heart: a report of 12 cases and review of the literature. J Thorac Cardiovasc Surg. 69:450-457.
Ayyan MA, Aziz T, Sherif AE, et al. 2015. Blunt cardiac injury: case report of salvaged traumatic right atrial rupture.Ulus Travma Acil Cerrahi Derg. 21:527-530.
Bryan AJ, G D Angelini GD, Breckenridge IM. 1988. Spontaneous Closure of a Traumatic Interventricular Septal Defect Following a Penetrating Chest Injury. Thorac Cardiovasc Surg. 36:172-173.
Glancy DL, Itscoitz SB, McIntosh CL, et al. 1972. Successful Operative Correction of Intrapulmonary Rupture of a Post-Traumatic Left Ventricular Aneurysm. Am J Cardiol. 30:914-918.
Hsu HL, Chen JS. 2015. Penetrating cardiac injury: Consider direct exploration and “finger haemostasis” and remember to screen for intra-cardiac injury after a successful repair. Injury. 46:2073-2074.
Karagodin I, Kebed K, Singh A, et al. 2020. Stabbed Through The Heart: An Unusual VSD Presentation. JACC Case Rep. 2:559-564.
Khajali Z, Firouzi A, Jorfi F, Hedayati MK. 2020. Device closure of a traumatic VSD in a young man with a history of a stab wound to the chest. J Cardiol Cases. 21:217-219.
Midell AI, Replogle R, Bermudez G. 1975. Spontaneous Closure of a Traumatic Ventricular Septa1 Defect Following a Penetrating Injury. Ann Thorac Surg. 20:339-342.
Mina MJ, Jhunjhunwala R, Gelbard RB, et al. 2017. Factors affecting mortality after penetrating cardiac injuries: 10-year experience at urban level I trauma center. Am J Surg. 213:1109-1115.
Morse BC, Mina MJ, Carr JS, et al. 2016. Penetrating cardiac injuries: a 36-year perspective at an urban, level I trauma center. J Trauma Acute Care Surg. 81:623-631.
Olsovsky MR, Topaz O, DiSciascio G, et al. 1996. Acute traumatic ventricular septal rupture. Am Heart J. 131:1039-1041.
Restrepo CS, Gutierrez FR, Marmol-Velez JA, et al. Imaging patients with cardiac trauma. Radiographics 2012;32:633-649.
Walker, WJ. 1965. Spontaneous Closure of Traumatic Ventricular Septal Defect. Am J Cardiol. 15:263-266.
Wu HW, Chien JH, Weng KP, et al. 2019. Traumatic Ventricular Septal Defect in a 1-Year-Old Boy After Accidental Chest Compression by an Adult. Pediatr Emerg Care. 35:e90-e92.
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