Stroke complicating traumatic ventricular septal defect.
作者信息
de Bruin Gabriela, Pereira da Silva Ricardo
机构信息
Department of Internal Medicine, Division of Cardiology, Universidade Federal do Ceara, Fortaleza, Ceara, Brazil.
出版信息
J Emerg Med. 2012 Dec;43(6):987-8. doi: 10.1016/j.jemermed.2011.03.013. Epub 2011 May 26.
BACKGROUND
Traumatic ventricular septal defect (VSD) occurs in approximately 5% of blunt or penetrating cardiac injuries and can result in rare complications.
OBJECTIVES
To report the serious complication of stroke after a traumatic VSD.
CASE REPORT
A 27-year-old man with no previous medical history presented to the Emergency Department with aphasia and right hemiparesis after a stab wound to the chest. He underwent emergent evacuation of a pericardial effusion and repair of a right ventricular wall perforation. Head computed tomography revealed left middle cerebral artery infarct. Post-operatively, he was noted to have a cardiac murmur, and echocardiogram revealed a VSD. The VSD was surgically repaired without complication.
CONCLUSION
Stroke can complicate traumatic VSDs.
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