[Post-traumatic interventricular communication. Closure under extracorporeal circulation].
Report of one case of acquired traumatic interventricular septal defect due to a stab injury of the right ventricle by a knife. The highly-placed penetrating injury involved the muscular septum and very probably resulted in a right bundle-branch block of the His system. Surgical operation performed in view of a starting clinical intolerance with moderately increased right cardiac pressures, was done under ECC with easy suture of the septal wound. The post-operative course was normal and a quick clinical cure was noted, which persisted for 8 months after surgery. The interest of this case, in addition to the very severe condition of the patient who had sustained 11 stab-knife wounds, lies in the high localization of the septal wound, which explains the involvement of the intracardiac conduction pathways.
D000328:Adult; D006328:Cardiac Catheterization; D002305:Cardiac Tamponade / Q000209:etiology; D004562:Electrocardiography; D005112:Extracorporeal Circulation; D006327:Heart Block / Q000209:etiology; D006335:Heart Injuries / Q000601:surgery*; D006346:Heart Septum / Q000293:injuries*; D006352:Heart Ventricles / Q000293:injuries*; D006439:Hemodynamics; D006801:Humans; D008297:Male; D010701:Phonocardiography; D011379:Prognosis
Communication interventriculaire post-traumatique. Fermeture sous C.E.C.