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[Traumatic ventricular septal defect. A case report].

J L Jacob1, M V Cury, Cury J Jímopr

  • 1Instituto de Moléstias Cardiovasculares de São José do Rio Preto, SP.

Arquivos Brasileiros De Cardiologia
|February 1, 1990
PubMed
Summary
This summary is machine-generated.

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A car accident caused a ventricular septal defect (VSD) in a woman. Surgical repair was successful, though it led to heart block requiring a pacemaker.

Area of Science:

  • Cardiology
  • Trauma Surgery

Background:

  • A 34-year-old woman experienced a closed thoracic trauma from a car accident.
  • She presented with new-onset dyspnea and orthopnea three days post-injury.

Observation:

  • Physical examination revealed a systolic murmur suggestive of a ventricular septal defect (VSD).
  • Doppler echocardiography and angiography confirmed a muscular VSD with a significant left-to-right shunt.

Findings:

  • Surgical closure of the VSD was performed via a right atrium approach using a patch.
  • Postoperatively, the patient developed third-degree atrioventricular block, necessitating a permanent pacemaker implantation.

Implications:

  • This case highlights the potential for traumatic thoracic injury to cause delayed VSD formation.

Related Experiment Videos

  • Successful surgical VSD closure and pacemaker implantation resulted in a positive patient outcome with resolution of symptoms.