文章基本信息

标题：VENTRICULAR SEPTAL NECROSIS AFTER BLUNT CHEST TRAUMA (CASE REPORT)
本地全文：下载
作者：SABZI FERIDOUN ; NIAZI MOJTABA ; ZOKAEI ABDOL HAMID 等
期刊名称：JOURNAL OF INJURY & VIOLENCE RESEARCH
印刷版ISSN：2008-2053
电子版ISSN：2008-4072
出版年度：2012
卷号：4
期号：2
页码：98-100
语种：English
出版社：KERMANSHAH UNIVERSITY OF MEDICAL SCIENCES
摘要：Ventricular Septal Defect (VSD) after blunt chest trauma is a very rare traumatic affection.
We report here a case of blunt chest injury-related VSD and pseudo aneurysm.
A 30-year old male truck driver was referred from a trauma center to our hospital seven days after a blunt chest trauma and rib fracture. The patient had severe pulmonary edema and echocardiography showed large VSD. Several mechanisms are involved in the pathogenesis of this affection including an acute compression of the heart muscle between the sternum and the spine, leading to excessive changes in the intrathoracic and most likely the intracardiac pressure after blunt chest injury. Traumatical patients with the same symptoms may be at risk of sudden death. Therefore, a high grade of suspicion is mandatory even without solid evidence of myocardial damage on the initial evaluation. In continue some hidden angles of this case was discussed. Given the prognostic implications of traumatic VSD with associated pseudoaneurysm, its detection has critical value for preventing its clinical sequelae.
关键词：VENTRICULAR SEPTALNECROSIS; NECROSIS; TRAUMA