Severe cardiac complication secondary to blunt chest trauma

Authors

  • Fidel Jaliff Servicio de Imagen Cardíaca. Sanatorio Trinidad Ramos Mejía. Buenos Aires. Argentina
  • Carlos Izurieta Servicio de Imagen Cardíaca. Sanatorio Trinidad Ramos Mejía. Buenos Aires. Argentina
  • Martín Lombardero Jefe de Imagen Cardíaca. Sanatorio Trinidad Palermo, Sanatorio Trinidad San Isidro, Sanatorio Trinidad Ramos Mejía. Buenos Aires. Argentina
  • Yanina Arzani Coordinadora de Unidad Coronaria. Sanatorio Trinidad Ramos Mejía. Buenos Aires. Argentina
  • Adriano Malusardi Servicio de Cirugía Cardiovascular. Sanatorio Trinidad Ramos Mejía. Buenos Aires. Argentina

DOI:

https://doi.org/10.37615/retic.n2a5

Keywords:

interventricular septal defect, blunt chest trauma, intraoperative echocardiography.

Abstract

We present a rare and severe complication following blunt chest trauma.

A 42 year-old patient was transferred to our medical center after suffering a motorcycle crash accident with several trauma injuries. During the hospitalization he presented worsening clinical and hemodynamic conditions. After performing both transthoracic and transoesophageal echocardiography we confirmed a large interventricular septal defect plus severe mitral and tricuspid valves regurgitation. Corrective surgery of the defect and tricuspid valvuloplasty was made with ominous result.

We highlight the importance of the echocardiography in the urgent setting of patients who have suffered of a blunt chest trauma.

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References

Fang BR, Li CT. Acute myocardial infarction following blunt chest trauma. Eur Heart J 1994; 15: 705-707. DOI: https://doi.org/10.1093/oxfordjournals.eurheartj.a060571

Genoni M, Jenni R, Turina M. Traumatic ventricular septal defect. Heart 1997; 78: 326-328. DOI: https://doi.org/10.1136/hrt.78.3.316

Piekarska AM, Perek B, Niklas A, Tykarski A. Ventricular septal rupture after blunt chest trauma. Kardiol Pol 2013; 71 (9): 992. DOI: https://doi.org/10.5603/KP.2013.0243

Tiao GM, Griffith PM, Szmuszkovicz JR, Mahour GH. Cardiac and great vessel injuries in children after blunt trauma: An institutional review. J Pediatr Surg 2000; 35 (11): 1.656-1.660. DOI: https://doi.org/10.1053/jpsu.2000.18345

Rutherford EJ, White KS, Maxwell JG, Clancy TV. Immediate isolated interventricular septal defect from non-penetrating thoracic trauma. Am Surg 1993; 59 (6): 353-354.

Moront M, Lefrak EA, Akl BF. Traumatic ruptura of the intraventricular septum and tricuspid valve: Case report. J Trauma 1991; 31 (1): 134-136. DOI: https://doi.org/10.1097/00005373-199101000-00026

Blasco PB, Comas JG, del Alcazar Munoz R. Spontaneous improvement of a haemodynamically significant ventricular septal defect produced by blunt chest trauma in a child. Cardiol Young 2009; 19: 109-110. DOI: https://doi.org/10.1017/S1047951108003223

Engelman RM, Rousou JA, Schweiger M. Traumatic ventricular septal defect following closed-chest massage: A new approach to closure. Ann Thorac Surg 1984; 38 (5): 529-532. DOI: https://doi.org/10.1016/S0003-4975(10)64199-9

Stahl RD, Liu JC, Walsh JF. Blunt cardiac trauma: Atrioventricular valve disruption and ventricular septal defect. Ann Thorac Surg 1997; 64 (5): 1.466- 1.468. DOI: https://doi.org/10.1016/S0003-4975(97)00843-6

Tenzer ML. The spectrum of myocardial contusion: A review. J Trauma 1985; 25 (7): 620-627. DOI: https://doi.org/10.1097/00005373-198507000-00008

Mason DT, Roberts WC. Isolated ventricular septal defect caused by nonpenetrating trauma to the chest. Proc (Bayl Univ Med Cent) 2002; 15 (4): 388- 390. DOI: https://doi.org/10.1080/08998280.2002.11927871

Kim NY, Kwon TJ, Park JR, Choi HC, Cheon YH, Kang MK, Hwang SJ, Park Y, Jeong YH, Kwak CH, Hwang JY. Delayed ventricular septal rupture following blunt chest trauma. Korean Circ J 2011; 41 (10): 625-628. DOI: https://doi.org/10.4070/kcj.2011.41.10.625

Baum VC. The patient with cardiac trauma. J Cardiothorac Vasc Anest 2000; 114: 71-81. DOI: https://doi.org/10.1016/S1053-0770(00)90062-4

Sabzi F, Niazi M, Zokaei AH, Sahebjamee F, Bazargan Hejazi S, Ahmadi A. Ventricular septal necrosis after blunt chest trauma. J Inj Violence Res 2012; 4 (2): 98-100. DOI: https://doi.org/10.5249/jivr.v4i2.97

Pesenti-Rossi D, Godart F, Dubar A, Rey C. Transcatheter closure of traumatic ventricular septal defect: An alternative to surgery. Chest 2003; 123: 2.144- 2.145. DOI: https://doi.org/10.1378/chest.123.6.2144

Published

2016-09-30

How to Cite

1.
Jaliff F, Izurieta C, Lombardero M, Arzani Y, Malusardi A. Severe cardiac complication secondary to blunt chest trauma. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 2016 Sep. 30 [cited 2024 Nov. 21];(2):17-20. Available from: https://imagenretic.org/RevEcocarPract/article/view/505