| A Case of Early Repair of Ventricular
Septal Perforation due to Blunt Chest Trauma |
| Takeshi Ikuta |
Shigefumi Suehiro |
Toshihiko Shibata |
| Yasuyuki Sasaki |
Hidekazu Hirai |
Tadahiro Murakami |
| Mitsuharu Hosono |
Hiromichi Fujii |
Takanobu Aoyama |
| Hiroaki Kinoshita |
|
|
(Department of Cardiovascular Surgery, Osaka City
University Medical School, Osaka, Japan)
|
We report a 25-year-old man with
ventricular septal perforation due to blunt chest trauma. He
was transferred by ambulance to our hospital following a traffic
accident. On admission, he had no cardiac murmur. Two days later,
a pansystolic murmur appeared over the left lower sternal border.
Doppler echocardiogram revealed a large left-to-right shunt through
a ventricular septal perforation. We postponed surgical treatment
as long as possible because he also exhibited bronchial bleeding
due to a lung contusion. Surgical repair of the ruptured ventricular
septum was performed 8 days after the chest trauma, because the
pulmonary to systemic flow ratio was elevated to 4.6 and cardiac
function had deteriorated. During the operation, the site of
the septal perforation was easily detected by epicardial echocardiography.
A 4-cm tear in the muscular septum was closed through a right
ventriculotomy using a pericardial patch reinforced with a Dacron
patch. Postoperative recovery was uneventful with the exception
of transient right ventricular failure. There was no residual
shunt.
Jpn. J. Cardiovasc. Surg. 31: 221-223 (2002) |
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