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Related Experiment Videos

Traumatic ventricular septal defect and delayed post-pericardiotomy ventricular herniation

J A Pantano, T R Singleton, S Z Turney

    The Journal of Trauma
    |February 1, 1977
    PubMed
    Summary

    A knife wound caused a ventricular septal defect, treated surgically. Subsequent cardiac herniation and chest pain resolved after repair of the pericardial defect and ventricular septal defect.

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    Area of Science:

    • Cardiovascular Surgery
    • Traumatic Cardiac Injury

    Background:

    • A ventricular septal defect (VSD) resulted from a stab wound to the heart.
    • Initial surgical intervention included myocardial laceration repair and pericardiotomy for cardiac tamponade relief.

    Observation:

    • The patient developed progressive exercise intolerance over eight years.
    • Intermittent partial cardiac herniation led to angina-like chest pain.

    Findings:

    • Surgical correction of the pericardial defect and VSD closure were performed.
    • The patient became asymptomatic following the corrective procedures.

    Implications:

    • This case highlights the long-term complications of traumatic cardiac injuries, including VSD and cardiac herniation.

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  • Successful surgical management can restore quality of life after complex cardiac trauma.