Karataş Zehra, Sap Fatih, Altin Hakan, Alp Hayrullah, Baysal Tamer, Karaaslan Sevim
Selçuk Universitesi Meram Tip Fakültesi, Cocuk Kardiyoloji Bilim Dali, Konya, Turkey.
Ulus Travma Acil Cerrahi Derg. 2012 Mar;18(2):185-8. doi: 10.5505/tjtes.2012.15045.
In the literature, cardiac response associated with blunt chest trauma in children has been reported generally as case reports, and interventricular septal rupture due to trauma is quite rare. Interventricular septal rupture can develop even in the absence of visible signs of a trauma because of the flexibility of the chest structure in children. In the present case, a seven-year-old boy with interventricular septal rupture at the mid-muscular region and left ventricle pseudoaneurysm developed due to injury to the left anterior descending coronary artery after a traffic accident is reported. Patients with cardiac murmur detected on physical examination after a blunt chest trauma must be considered as cardiac injury, and in those with signs of ischemia detected on electrocardiography, it should not be forgotten that the coronary artery may be affected.
在文献中，儿童钝性胸部创伤相关的心脏反应通常以病例报告形式呈现，因创伤导致的室间隔破裂相当罕见。由于儿童胸部结构的柔韧性，即使没有明显的创伤迹象，也可能发生室间隔破裂。在本病例中，报告了一名7岁男孩，在交通事故后因左前降支冠状动脉损伤，出现了肌中部室间隔破裂和左心室假性动脉瘤。钝性胸部创伤后体格检查发现有心脏杂音的患者必须被视为心脏损伤，而对于心电图检测有缺血迹象的患者，不应忘记冠状动脉可能受到影响。
