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Traumatic cardiac rupture and left ventricular aneurismal formation in childhood

Matthew A Studer1, John L Jefferies, E Dean McKenzie

  • 1Department of Pediatrics, Baylor College of Medicine, and Texas Children's Hospital, Houston, Texas, USA.

The American Journal of Cardiology
|February 2, 2008
PubMed

Insights

Motor vehicle accidents can cause severe traumatic injury in children. This case report details the successful surgical repair of two left ventricular aneurysms resulting from blunt force trauma in a young boy.

Area of Science:

  • Cardiology
  • Pediatric Trauma
  • Cardiac Surgery

Background:

  • Traumatic injuries are a leading cause of death in children over one year old.
  • Motor vehicle accidents are the primary cause of pediatric traumatic injuries.

Observation:

  • A 7-year-old boy sustained blunt force trauma from a motor vehicle accident.
  • The trauma resulted in two left ventricular aneurysms, consistent with a coup-contrecoup injury pattern.

Findings:

  • The left ventricular aneurysms were successfully repaired.
  • The surgical approach involved accessing the aneurysms from within the left ventricle via a left atrial incision.

Implications:

  • This case highlights a rare but serious consequence of blunt chest trauma in pediatric patients.
  • Surgical repair from within the ventricle offers a viable treatment option for left ventricular aneurysms following trauma.

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