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[Post-traumatic interventricular communication. Closure under extracorporeal circulation]

R Kieny, F Wolff, A Gross

    Archives Des Maladies Du Coeur Et Des Vaisseaux
    |January 1, 1975
    PubMed
    Summary
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    This case report details a rare acquired traumatic interventricular septal defect caused by a stab wound. Successful surgical repair led to a complete clinical recovery, highlighting effective intervention for such cardiac trauma.

    Area of Science:

    • Cardiology
    • Trauma Surgery
    • Cardiac Surgery

    Background:

    • Acquired traumatic interventricular septal defects are rare cardiac injuries.
    • Penetrating cardiac trauma can lead to complex structural and electrical abnormalities.

    Purpose of the Study:

    • To report a unique case of a high-lying interventricular septal defect caused by stab trauma.
    • To describe the successful surgical management and outcomes of this specific injury.

    Main Methods:

    • Case report of a patient with multiple stab wounds, including one to the right ventricle.
    • Surgical repair of the interventricular septal defect under cardiopulmonary bypass.
    • Postoperative monitoring of clinical status and cardiac function.

    Main Results:

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    • A highly-placed penetrating injury resulted in an interventricular septal defect and likely right bundle-branch block.
    • The septal defect was successfully repaired with easy suturing during cardiopulmonary bypass.
    • The patient experienced a normal postoperative course and clinical cure lasting at least 8 months.

    Conclusions:

    • High-localization of septal wounds in cardiac trauma can involve intracardiac conduction pathways.
    • Prompt surgical intervention for traumatic interventricular septal defects can achieve excellent clinical outcomes.
    • This case underscores the importance of considering complex cardiac injuries in penetrating chest trauma.