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Traumatic ventricular septal defect in a 4-year-old boy after blunt chest injury.
MedLine Citation:
PMID:  21503202     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Traumatic ventricular septal defect (VSD) resulting from blunt chest injury is a very rare event. The mechanisms of traumatic VSD have been of little concern to dateuntil now, but two dominant theories have been described. In one, the rupture occurs due to acute compression of the heart; in the other, it is due to myocardial infarction of the septum. The clinical symptoms and timing of presentation are variable, so appropriate diagnosis can be difficult or delayed. Closure of traumatic VSD has been based on a combination of heart failure symptoms, hemodynamics, and defect size. Here, we present a case of a 4-year-old boy who presented with a traumatic VSD following a car accident. He showed normal cardiac structure at the time of injury, but after 8 days, his repeated echocardiography revealed a VSD. He was successfully treated by surgical closure of the VSD, and has been doing well up to the present. This report suggests that the clinician should pay great close attention to the patients injured by blunt chest trauma, keeping in mind the possibility of cardiac injury.
Authors:
Yun Mi Kim; Byung Won Yoo; Jae Young Choi; Jun Hee Sul; Young Hwan Park
Publication Detail:
Type:  Journal Article     Date:  2011-02-28
Journal Detail:
Title:  Korean journal of pediatrics     Volume:  54     ISSN:  2092-7258     ISO Abbreviation:  Korean J Pediatr     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-04-19     Completed Date:  2011-07-14     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101215374     Medline TA:  Korean J Pediatr     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  86-9     Citation Subset:  -    
Affiliation:
Division of Pediatric Cardiology, Cardiovascular Center, Yonsei University College of Medicine, Seoul, Korea.
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