title: A case of ventricular septal defect and mitral insufficiency after blunt trauma.
abstract: Few reports have described traumatic heart injury in children. We describe a case of acute mitral regurgitation associated with papillary muscle rupture, traumatic ventricular septal defect, and impending left ventricular free wall rupture due to blunt trauma in a 2-year-old girl. The papillary muscle was sutured to the left ventricular free wall. The septal defect and surrounding ruptured muscle were covered with a pericardial patch, and a Hemashield patch was used to close the ventriculotomy. A residual defect caused by dehiscence of the pericardial patch necessitated reoperation 10 months later. The patient is currently being observed on an outpatient basis.
authors.affiliation: Department of Pediatric Cardiac Surgery, Saitama Medical University International Medical Center, Saitama, Japan masuoka@saitama-med.ac.jp.
authors.forename: Ayumu
authors.initials: A
authors.lastname: Masuoka
authors.affiliation: Department of Cardiac Surgery, Section of Pediatric Cardiovascular Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA.
authors.forename: Naritaka
authors.initials: N
authors.lastname: Kimura
authors.affiliation: Department of Pediatric Cardiac Surgery, Saitama Medical University International Medical Center, Saitama, Japan.
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Katogi
authors.affiliation: Department of Pediatric Cardiac Surgery, Saitama Medical University International Medical Center, Saitama, Japan.
authors.forename: Takaaki
authors.initials: T
authors.lastname: Suzuki
mesh_terms: D000058:Accidental Falls; D006348:Cardiac Surgical Procedures / Q000009:adverse effects; D002675:Child, Preschool; D018618:Echocardiography, Doppler, Color; D005260:Female; D006335:Heart Injuries / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D012086:Reoperation; D013997:Time Factors; D016896:Treatment Outcome; D054088:Ventricular Septum / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery
keywords: Child; heart injuries; heart septum; heart ventricles; nonpenetrating; papillary muscles; wounds