Jacob J L, Cury M V, Garzon S A, Lorga A M, Thevenard R S, Machado N C, Braile D M
Instituto de Moléstias Cardiovasculares de São José do Rio Preto, SP.
Arq Bras Cardiol. 1990 Feb;54(2):133-5.
A 34 years old woman, without previous cardiac symptoms, suffered a closed thoracic trauma in a car accident. Three days after presented dyspnea and orthopnea. Physical examination revealed a systolic murmur consistent with ventricular septal defect (VSD). Doppler echocardiography and angiography confirmed the presence of a muscular VSD with severe left-to-right shunt. Surgical intervention was indicated and VSD closure was performed with a patch, through a right atrium approach. Third degree atrioventricular block developed after surgery and a definitive pacemaker was implanted. The patient is asymptomatic and without murmurs in postoperative follow-up.
一名34岁女性，既往无心脏症状，在一次车祸中遭受闭合性胸部创伤。受伤三天后出现呼吸困难和端坐呼吸。体格检查发现收缩期杂音，与室间隔缺损（VSD）相符。多普勒超声心动图和血管造影证实存在肌部室间隔缺损并伴有严重的左向右分流。遂行手术干预，通过右心房入路用补片进行室间隔缺损修补。术后出现三度房室传导阻滞，植入了永久性起搏器。患者在术后随访中无症状且无杂音。
