title: Interventricular septal rupture caused by vehicular trauma.
abstract: We report the case of a patient admitted at the emergency unit after a severe car accident. As ECG showed a ST segment elevation in all leads, the working diagnosis was coronary dissection. Coronary angiography revealed a large interventricular septal rupture, confirmed by echocardiography. After discussion and as haemodynamics permitted, 6 weeks of medical observation were decided. A surgical repair was then performed, and provided a perfect repair of the shunt. We discuss about the prevalence and management of this rare traumatic complication.
authors.affiliation: Department of Cardiology, University Hospital of Liège, Belgium. robinetseb@yahoo.fr
authors.forename: Sébastien
authors.initials: S
authors.lastname: Robinet
authors.forename: Philippe
authors.initials: P
authors.lastname: Morimont
authors.forename: Bernard
authors.initials: B
authors.lastname: Lambermont
authors.forename: Jean Olivier
authors.initials: JO
authors.lastname: Defraigne
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D006348:Cardiac Surgical Procedures / Q000379:methods*; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D005500:Follow-Up Studies; D006335:Heart Injuries / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D054088:Ventricular Septum / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery