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Traumatic Ventricular Septal Defect in a 1-Year-Old Boy After Accidental Chest Compression by an Adult

Huang-Wei Wu, Jen-Hung Chien, Ken-Pen Weng

  • 1Department of Pediatrics, Taoyuan Armed Forces General Hospital, Taoyuan.

Pediatric Emergency Care
|February 23, 2017
PubMed

Insights

A rare case of traumatic ventricular septal defect (VSD) in a child, caused by chest compression, spontaneously closed by age 4. This highlights the importance of considering VSD in chest trauma patients.

Area of Science:

  • Cardiology
  • Pediatric Medicine
  • Trauma Surgery

Background:

  • Traumatic ventricular septal defect (VSD) is a rare injury, often resulting from blunt chest trauma.
  • Delayed diagnosis can occur, particularly in pediatric cases following chest compression incidents.

Observation:

  • A 1-year-old boy presented with a delayed diagnosis of traumatic VSD secondary to chest compression.
  • The patient's cardiac function remained stable with medical management.
  • Spontaneous closure of the traumatic VSD was observed by age 4.

Findings:

  • Accidental chest compression can lead to traumatic VSD and associated thoracic injuries.
  • Echocardiography is crucial for timely diagnosis and serial monitoring of traumatic VSD.
  • Troponin I levels may serve as a valuable initial screening marker.

Implications:

  • Clinicians must maintain a high index of suspicion for traumatic VSD in patients with a history of chest compression.
  • Conservative management is recommended for hemodynamically stable traumatic VSD due to the potential for spontaneous closure.
  • Early detection and monitoring via echocardiography can prevent delayed diagnosis and ensure appropriate patient care.

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