title: [Traumatic left ventricle-right atrial communication. A case report].
abstract: The authors report the case of an acquired left ventricle-right atrial communication after open chest trauma. The initial clinical presentation was a haemothorax and haemopericardium responding well to emergency surgical drainage. Secondarily, a systolic murmur suggesting a ventricular septal defect and signs of right heart failure were observed. Colour Doppler echocardiography led to the diagnosis of a left ventricle-right atrial communication associated with tricuspid regurgitation with dilatation of the right heart chambers and pulmonary hypertension. At surgery, a defect in the membranous interventricular septum was confirmed with rupture of the septal tricuspid leaflet causing tricuspid regurgitation. The surgeon closed the defect with a patch and performed a De Vega tricuspid valvuloplasty. The postoperative outcome was uneventful.
authors.affiliation: Service de médecine B, hôpital militaire d'instruction Mohammed V, Rabat, Maroc.
authors.forename: A
authors.initials: A
authors.lastname: Benyass
authors.forename: K
authors.initials: K
authors.lastname: Belmadani
authors.forename: Z
authors.initials: Z
authors.lastname: Lakhal
authors.forename: A
authors.initials: A
authors.lastname: Moustaghfir
authors.forename: A
authors.initials: A
authors.lastname: Hda
authors.forename: M A
authors.initials: MA
authors.lastname: Boukili
authors.forename: V
authors.initials: V
authors.lastname: Ohayon
authors.forename: W
authors.initials: W
authors.lastname: Maazouzi
authors.forename: M I
authors.initials: MI
authors.lastname: Archane
mesh_terms: D000328:Adult; D018618:Echocardiography, Doppler, Color; D005402:Fistula / Q000209:etiology*; D006325:Heart Atria / Q000000981:diagnostic imaging*; D006335:Heart Injuries / Q000150:complications*; D006352:Heart Ventricles / Q000000981:diagnostic imaging*; D006491:Hemothorax / Q000209:etiology; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology; D008297:Male; D014261:Tricuspid Valve / Q000601:surgery; D014262:Tricuspid Valve Insufficiency / Q000209:etiology* / Q000601:surgery
vernacular_title: Communication ventricule gaucheoreillette droite traumatique. A propos d'un cas.