title: Ventricular septal defect secondary to a unique mechanism of blunt trauma: a case report.
abstract: We report the case of an adolescent boy who had progressive respiratory distress and cardiovascular compromise after striking his chest against his bicycle handlebars. An echocardiogram in the emergency department revealed a large ventricular septal defect. The boy did well after emergent operative repair and subsequent replacement of a torn tricuspid valve. The characteristics of ventricular septal defects from blunt trauma are briefly discussed.
authors.affiliation: Department of Pediatrics, Division of Critical Care and Emergency Medicine, Medical University of South Carolina, Charleston, SC 29425, USA.
authors.forename: Christopher M
authors.initials: CM
authors.lastname: Pruitt
authors.forename: M Olivia
authors.initials: MO
authors.lastname: Titus
mesh_terms: D000293:Adolescent; D001642:Bicycling / Q000293:injuries*; D004452:Echocardiography; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D006345:Heart Septal Defects, Ventricular / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008297:Male; D013898:Thoracic Injuries / Q000150:complications*; D014949:Wounds, Nonpenetrating / Q000150:complications*