[Traumatic ventricular septal defect. A case report].
A 34 years old woman, without previous cardiac symptoms, suffered a closed thoracic trauma in a car accident. Three days after presented dyspnea and orthopnea. Physical examination revealed a systolic murmur consistent with ventricular septal defect (VSD). Doppler echocardiography and angiography confirmed the presence of a muscular VSD with severe left-to-right shunt. Surgical intervention was indicated and VSD closure was performed with a patch, through a right atrium approach. Third degree atrioventricular block developed after surgery and a definitive pacemaker was implanted. The patient is asymptomatic and without murmurs in postoperative follow-up.
Jacob
J L
JL
Instituto de Moléstias Cardiovasculares de São José do Rio Preto, SP.
Cury
M V
MV
Cury J Jímopr
Garzon
S A
SA
Lorga
A M
AM
Thevenard
R S
RS
Machado
N C
NC
Braile
D M
DM
D000063:Accidents, Traffic; D000328:Adult; D015150:Echocardiography, Doppler; D005260:Female; D006327:Heart Block / Q000209:etiology* / Q000628:therapy; D006335:Heart Injuries / Q000150:complications*; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006352:Heart Ventricles / Q000293:injuries; D006801:Humans; D010138:Pacemaker, Artificial; D011183:Postoperative Complications; D014949:Wounds, Nonpenetrating / Q000150:complications*
Communicção interventricular traumática. Relato de caso.