[Traumatic left ventricle-right atrial communication. A case report].
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.
Benyass
A
A
Service de médecine B, hôpital militaire d'instruction Mohammed V, Rabat, Maroc.
Belmadani
K
K
Lakhal
Z
Z
Moustaghfir
A
A
Hda
A
A
Boukili
M A
MA
Ohayon
V
V
Maazouzi
W
W
Archane
M I
MI
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
Communication ventricule gaucheoreillette droite traumatique. A propos d'un cas.