Myocardial necrosis and ventricular aneurysm following closed chest injury in a child.
A 4-year-old child is described who suffered an unsuspected myocardial contusion which led to the formation of a ventricular aneurysm 2 months after an automobile accident. Electrocardiography, thallium scanning, myocardial enzyme assays, two-dimensional echocardiography and, when indicated, cardiac catheterization, may aid in the early diagnosis of cardiac contusions. In the patient presented, resection of the aneurysm 6 months postinjury was followed by elimination of almost all the mitral regurgitation originally present and good cardiovascular function.
D000063:Accidents, Traffic; D002675:Child, Preschool; D003288:Contusions / Q000150:complications / Q000175:diagnosis; D006322:Heart Aneurysm / Q000175:diagnosis / Q000209:etiology*; D006335:Heart Injuries / Q000150:complications / Q000175:diagnosis; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000209:etiology*; D013898:Thoracic Injuries / Q000150:complications*; D014949:Wounds, Nonpenetrating / Q000150:complications*