Document Detail

Ruptured interventricular septum after blunt chest trauma: ultrasonographic diagnosis.
MedLine Citation:
PMID:  7617506     Owner:  NLM     Status:  MEDLINE    
A 6-year-old child was found under a heavy bookcase that compressed her chest. On admission to the emergency room she was found to be dyspneic with a systolic murmur and complete atrioventricular (A-V) block. Her condition deteriorated rapidly, leading to cardiogenic shock and loss of consciousness. Echocardiographic Doppler evaluation demonstrated a large ventricular septal defect and tricuspid insufficiency. A pericardial patch was put over the tear in the septum, and torn chordae tendinae were reimplanted to the papillary muscles. A pacemaker was inserted. Her situation improved, but on the third day cardiogenic shock and right ventricular dysfunction ensued and the patient expired. A review of the previous 13 cases from the pediatric literature is presented.
Y Harel; A Szeinberg; W A Scott; M Frand; Z Vered; A Smolinski; Z Barzilay
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Pediatric cardiology     Volume:  16     ISSN:  0172-0643     ISO Abbreviation:  Pediatr Cardiol     Publication Date:    1995 May-Jun
Date Detail:
Created Date:  1995-08-18     Completed Date:  1995-08-18     Revised Date:  2008-02-20    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  127-30     Citation Subset:  IM    
Pediatric Critical Care Division, Chaim Sheba Medical Center, Tel Hashomer, Israel.
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MeSH Terms
Echocardiography, Doppler
Thoracic Injuries / complications*,  ultrasonography
Ventricular Septal Rupture / etiology*,  ultrasonography*
Wounds, Nonpenetrating / complications*,  ultrasonography

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