Document Detail

Traumatic free wall and ventricular septal rupture - 'hybrid' management in a child.
MedLine Citation:
PMID:  17337199     Owner:  NLM     Status:  MEDLINE    
A 8-year-old boy showed a traumatic ventricular septal rupture following a blunt chest trauma, and was scheduled for elective catheter closure. Two weeks later, a follow-up echocardiogram revealed a pseudoaneurysm of the anterior wall of the left ventricle. Because of the apical location of the VSD, it was decided to proceed with transcatheter occlusion. After successful VSD closure, the patient was taken to the operation room for surgical repair of the left ventricular pseudoaneurysm. Symptoms and signs seen in patients with ventricular pseudoaneurysms appear to be discrete and variable, and a high clinical index of suspicion with a very close echocardiographic follow-up is strongly recommended after occurrence of a blunt cardiac trauma. The combined 'hybrid' approach of transcatheter closure of the intraventricular rupture followed by surgical closure of the pseudoaneurysm allows for a less invasive and efficient management of this rare combination of post-traumatic ventricular free wall and septal rupture in a child.
Alexander Kadner; Margrit Fasnacht; Oliver Kretschmar; René Prêtre
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-03-06
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  31     ISSN:  1010-7940     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-04-09     Completed Date:  2007-07-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  949-51     Citation Subset:  IM    
Division of Congenital Cardiac Surgery, Children's Hospital, University Zurich, Switzerland.
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MeSH Terms
Aneurysm, False / etiology,  surgery
Cardiac Surgical Procedures / methods
Echocardiography / methods
Heart Aneurysm / etiology,  surgery
Heart Septum / surgery
Thoracic Injuries / complications*,  surgery
Treatment Outcome
Ventricular Septal Rupture / etiology,  surgery*
Wounds, Nonpenetrating / complications*,  therapy

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