Traumatic Left Ventricular Aneurysm and Ventricular Septal Defect in a Child.

Area of Science:

• Pediatric Cardiology
• Trauma Surgery
• Cardiovascular Surgery

Background:

• Cardiac injuries from blunt trauma are uncommon but life-threatening in pediatric patients.
• Left ventricle free wall aneurysm and ventricular septal defects are rare sequelae of pediatric blunt chest trauma.

Purpose of the Study:

• To report a rare case of cardiac injury following blunt trauma in a pediatric patient.
• To discuss the surgical management and decision-making for a left ventricle free wall aneurysm with a ventricular septal defect.

Main Methods:

• Case presentation of a 23-month-old child with blunt chest trauma.
• Review of diagnostic findings and surgical intervention.
• Discussion of the surgical approach and timing.

Main Results:

• Successful surgical repair of a left ventricle free wall aneurysm and ventricular septal defect was achieved.
• The repair was performed 6 weeks post-injury, indicating a viable surgical window for such injuries.

Conclusions:

• Surgical repair is a feasible and successful treatment for pediatric cardiac injuries like left ventricle free wall aneurysms with VSD.
• Timely surgical intervention, even weeks after the initial trauma, can lead to positive outcomes in pediatric patients.