title: [Traumatic ventricular septal defect. A case report].
abstract: 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.
authors: Instituto de Moléstias Cardiovasculares de São José do Rio Preto, SP.
authors: J L
authors: JL
authors: Jacob
authors: M V
authors: MV
authors: Cury
authors: Cury J Jímopr
authors: S A
authors: SA
authors: Garzon
authors: A M
authors: AM
authors: Lorga
authors: R S
authors: RS
authors: Thevenard
authors: N C
authors: NC
authors: Machado
authors: D M
authors: DM
authors: Braile
mesh_terms: 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*
vernacular_title: Communicção interventricular traumática. Relato de caso.