Post-traumatic ventricular septal defect following coronary bypass surgery.
A 60-year-old patient underwent triple coronary artery bypass grafting following an inferoseptal myocardial infarction and early onset of exertional angina. Four years later he was involved in a car accident during which he sustained an abdominal and thoracic trauma. Approximately 1 month after discharge, a ventricular septal defect was diagnosed by two-dimensional Doppler echocardiography with patency of all grafts at coronary angiography. Closure of the septal defect was successfully accomplished through a right atrial approach. Rupture of the ventricular septum following blunt chest trauma in a patient with previous myocardial revascularization has not been previously reported.
Bortolotti
U
U
Department of Cardiac Surgery, University of Pisa Medical School, Italy.
Milano
A
A
Scioti
G
G
Tartarini
G
G
D000007:Abdominal Injuries / Q000601:surgery; D001026:Coronary Artery Bypass; D018572:Disease-Free Survival; D015150:Echocardiography, Doppler; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D006346:Heart Septum / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000601:surgery; D009203:Myocardial Infarction / Q000503:physiopathology / Q000601:surgery*; D011184:Postoperative Period; D012086:Reoperation; D012421:Rupture; D013898:Thoracic Injuries / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000601:surgery*