Division of Cardiology, University of California, Irvine Medical Center, 101 The City Drive, Building 53, Rt 81, Room 100, Orange, CA 92868, USA.
Catheter Cardiovasc Interv. 2009 Dec 1;74(7):1120-5. doi: 10.1002/ccd.22141.
Traumatic ventricular septal defects (VSD) can occur after blunt or penetrating chest trauma or cardiac procedures. There are few publications reporting the safety and efficacy of transcatheter closure of traumatic VSDs. We report a case of a large VSD resulting from penetrating chest trauma that was not repaired at the initial surgical procedure on the disrupted right ventricle. Because of the late identification of the VSD postoperatively, transcatheter closure after the original surgical procedure was recommended and performed requiring an Amplatzer atrial septal defect occluder device because of defect size and configuration. This case describes the technique and postprocedure imaging leading to a cautionary note regarding VSD closure device techniques.
创伤性室间隔缺损 (VSD) 可发生于钝性或穿透性胸部创伤或心脏手术后。目前仅有少数文献报道经导管闭合创伤性 VSD 的安全性和疗效。我们报告了 1 例因穿透性胸部创伤导致的大型 VSD，该 VSD 在初次手术修复右心室破裂时未得到修复。由于 VSD 是在术后才被发现，故建议在初次手术后进行经导管闭合，并因缺损大小和形态选择了 Amplatzer 房间隔缺损封堵器。本病例描述了技术和术后影像学结果，提示在 VSD 封堵器技术方面应保持谨慎。
