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Late ventricular septal defect due to blunt trauma
Hassan Soleimanpour1, Samad Shams Vahdati2, M Bassir A Fakhree3
1Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Bioimpacts : BI
|July 21, 2015
Summary
This rare case report highlights a late-developing ventricular septal defect (VSD) after blunt trauma. Most patients are asymptomatic, but some experience delayed cardiopulmonary deterioration requiring intervention.
Area of Science:
- Cardiology
- Trauma Surgery
Background:
- Blunt chest trauma can rarely lead to delayed cardiac complications.
- Ventricular septal defects (VSDs) are uncommon sequelae of traumatic injuries.
Observation:
- A young motorcycle rider sustained blunt trauma with initial minor injury assessment.
- Delayed presentation of a large apical VSD with significant cardiopulmonary deterioration occurred over 10 days post-trauma.
Findings:
- The VSD was diagnosed more than 10 days after the initial blunt trauma.
- Surgical repair of the VSD was successfully performed.
Implications:
- This case underscores the importance of monitoring for late-onset VSDs in patients with blunt trauma, even after initial discharge.
- Gradual decompensation can occur in a subset of patients, necessitating timely diagnosis and management of traumatic VSDs.
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