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Related Experiment Videos

Interventricular septum rupture due to falling from a height.

T F Chou1, J J Hwang, S H Chu

  • 1Department of Surgery, National Taiwan University, R.O.C.

The Thoracic and Cardiovascular Surgeon
|December 1, 1991
PubMed
Summary

A rare case of non-penetrating traumatic interventricular septal rupture occurred after a fall. Early surgical repair was successful, highlighting its potential as a lifesaving measure in severe blunt chest trauma.

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Area of Science:

  • Cardiology
  • Trauma Surgery
  • Medical Case Reports

Background:

  • Non-penetrating traumatic interventricular septal rupture is a rare cardiac injury.
  • It typically results from blunt force trauma but has not been previously reported following falls from height.
  • Surgical repair is often elective but can be emergent for life-saving interventions.

Observation:

  • A 15-year-old male sustained blunt chest trauma after falling from the fourth floor.
  • The patient presented with multiple fractures and hemodynamic instability (blood pressure 80/0), requiring mechanical ventilation.
  • A heart murmur was detected hours after admission, with a non-penetrating traumatic interventricular septal rupture diagnosed on day five via echocardiography and Swan-Ganz catheterization.

Findings:

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  • Successful surgical repair of the interventricular septal defect was performed on the 13th day post-injury.
  • The patient later underwent surgery for bone fractures and was discharged without complications.

    • Implications:

    • This case expands the known spectrum of injuries from blunt chest trauma.
    • It underscores the importance of vigilant cardiac assessment in high-energy trauma, even with delayed murmur detection.
    • Timely surgical intervention for traumatic interventricular septal rupture can lead to favorable outcomes.