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Traumatic ventricular septal defect in a 4-year-old boy after blunt chest injury

Authors
 Yun Mi Kim  ;  Byung Won Yoo  ;  Jae Young Choi  ;  Jun Hee Sul  ;  Young Hwan Park 
Citation
 Korean Journal of Pediatrics, Vol.54(2) : 86-89, 2011 
Journal Title
 Korean Journal of Pediatrics 
ISSN
 1738-1061 
Issue Date
2011
Abstract
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.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/92808
DOI
10.3345/kjp.2011.54.2.86
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Pediatrics (소아청소년과학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실)
Yonsei Authors
박영환(Park, Young Hwan) ; 설준희(Sul, Jun Hui) ; 유병원(Yoo, Byung Won) ; 최재영(Choi, Jae Young)
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