Postinfarction ventricular septal defect following blunt chest trauma in a 7-year-old child
Tolga Tatar1, Murat Ozkan, Bülent Saritaş
1Department of Cardiovascular Surgery, Başkent University Faculty of Medicine, Ankara, Turkey.
Insights
This study reports the first case of postinfarction ventricular septal defect (VSD) with coronary artery thrombosis in a child after blunt chest trauma. Early diagnosis and surgical intervention are crucial for managing this rare condition.
Area of Science:
- Cardiology
- Pediatric Surgery
- Trauma Surgery
Background:
- Blunt cardiac injury can cause traumatic ventricular septal defects (VSD) in children.
- Postinfarction VSD with coronary artery thrombosis is a rare complication, with no prior reports in pediatric cases.
Observation:
- A seven-year-old patient sustained blunt chest trauma.
- The patient developed a posttraumatic VSD and thrombotic occlusion of the left anterior descending coronary artery (LAD).
Findings:
- Surgical repair included VSD closure and bypass grafting for the occluded LAD.
- This case highlights a unique presentation of cardiac injury following trauma.
Implications:
- A high index of suspicion is vital for diagnosing this rare condition in pediatric trauma patients.
- Prompt use of advanced imaging and surgical intervention are essential for successful management and improved outcomes.
Abstract:
Blunt cardiac injury may result in traumatic ventricular septal defect (VSD) in the pediatric population, but presence of postinfarction VSD with accompanying coronary artery thrombosis has not been reported in the literature thus far. We present a seven-year-old patient who underwent surgery for posttraumatic VSD closure and bypass grafting of thrombotic left anterior descending coronary artery (LAD) occlusion following blunt chest trauma. A high index of suspicion and early use of the appropriate imaging studies are essential for diagnosis and surgical treatment of this condition.
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