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KMID : 0390620100180010028
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Journal of Cardiovascular Ultrasound
2010 Volume.18 No. 1 p.28 ~ p.30
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Delayed Diagnosis of Traumatic Ventricular Septal Defect in Penetrating Chest Injury: Small Evidence on Echocardiography Makes Big Difference
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Jeon Ki-Hyun
Lim Woo-Hyun
Kang Si-Hyuck
Cho Ik-Sung
Kim Kyung-Hee
Kim Hyung-Kwan
Kim Yong-Jin
Sohn Dae-Won
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Abstract
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Cardiac trauma from penetrating chest injury is a life-threatening condition. It was reported that < 10% of patients arrives at the emergency department alive. Penetrating chest injury can cause serious damage in more than 1 cardiac structure, including myocardial lacerations, ventricular septal defect (VSD), fistula between aorta and right cardiac chamber and valves. The presence of pericardial effusion (even a small amount) on the initial echocardiography might be the only clue to serious cardiac damage in the absence of definite evidence of anatomical defect in heart. We here present a case, in which clear diagnosis of VSD and pseudoaneurysmal formation was delayed a few days after penetrating chest injury due to the lack of anatomical evidence of damage.
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KEYWORD
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Ventricular septal defect, Penetrating chest trauma
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