title: Late ventricular septal defect due to blunt trauma.
abstract: BACKGROUND
  This is very rare case report regarding late ventricular septal defect (VSD) following blunt trauma.
  
  
  METHODS
  A 23-year-old motorcycle rider lost control and crashed to another motorcycle. He was transferred to emergency department by emergency medical services. Initial evaluation revealed some minor trauma which was managed, and he was discharged. There was a lately developed large apical VSD with delayed cardiopulmonary deterioration. The defect was recognized more than 10 days after accident, and repaired the day after.
  
  
  CONCLUSIONS
  Most VSD patients with blunt trauma remain asymptomatic following trauma while those with no primary findings experience gradual decompensation.
authors.affiliation: Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Hassan
authors.initials: H
authors.lastname: Soleimanpour
authors.affiliation: Emergency Medicine Department, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Samad
authors.initials: S
authors.lastname: Shams Vahdati
authors.affiliation: Department of General and Vascular Surgery, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: M Bassir A
authors.initials: MB
authors.lastname: Fakhree
keywords: Blunt injury; Emergency department; Ventricular septal defect