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Ventricular Septal Rupture After Blunt Chest Trauma in an Infant: A Case Report and Mini-Review

Xu Zhu1,2, Xiaojuan Ji2,3, Chun Wu2,4

  • 1Department of Cardiology, Children's Hospital of Chongqing Medical University, Chongqing, China.

Frontiers in Pediatrics
|July 14, 2020
PubMed

Insights

Ventricular septal rupture (VSR) from blunt chest trauma (BCT) is uncommon in infants. Echocardiography is crucial for diagnosing traumatic VSR in infants presenting with heart failure after chest injury.

Area of Science:

  • Pediatric Cardiology
  • Trauma Surgery
  • Diagnostic Imaging

Background:

  • Ventricular septal rupture (VSR) is a rare but serious complication of blunt chest trauma (BCT), particularly in infants.
  • Early recognition and diagnosis are critical for managing traumatic VSR and preventing severe outcomes like congestive cardiac failure.

Observation:

  • A case report details a 1-year and 9-month-old infant experiencing acute congestive cardiac failure post-BCT.
  • Emergency bedside echocardiography was instrumental in diagnosing a ventricular septal rupture in this infant.

Findings:

  • Blunt chest trauma can induce ventricular septal rupture in infants, presenting as acute congestive cardiac failure.
  • Echocardiography is the definitive diagnostic tool for traumatic VSR, enabling timely management.

Implications:

  • This case highlights the importance of considering traumatic VSR in infants with cardiac compromise after chest trauma.
  • Findings underscore the utility of echocardiography in the rapid diagnosis and management of pediatric blunt chest trauma complications.

Keywords:
blunt chest traumaechocardiographyinfanttherapyventricular septal rupture

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