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KMID : 0364019940270020161
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Korean Journal of Thoracic and Cardiovascular Surgery
1994 Volume.27 No. 2 p.161 ~ p.165
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Traumatic Ventricular Septal Defect Secondary to Nonpenetrating Chest Trauma -A Case Report-
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Abstract
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We have experienced a case of ventricular septal defect due to blunt chest trauma.
A 22 year old male patient was admitted due to chest pain after Motor cycle accident on July 1st , 1993. On 5th hospital day, sudden onset of dyspnea was noted and auscultation represented newly developed systolic murmur.
A cardiac catheterization and Left ventriculogram revealed ruptured septum at the apical portion.
Because there was open wound on anterior chest wall and congestive heart failure was medically controlled, the patient was discharged for elective operation. He was readmitted on August 14th , 1993. At operation, ventricular septal defect was
found
in
apico-posterior muscular septal area, about 2. 0*1.5cm in size. The defect was repaired by double velour patch with interrupted suture and ventriculotomy was closed with Teflon felt. The patient's postoperative course was uneventful and
discharged
10
days postoperatively without complication.
The patient have been followed up for 2 months. He is on functional class I with small amount of residual shunt at the ventricular septum. (Korean J Thoracic Cardiovas Surg 1994; 27:161-5)
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