Kasem Mohamed, Kanthimathinathan Hari Krishna, Mehta Chetan, Neal Richard, Stumper Oliver
Department of Cardiology, Birmingham Children's Hospital, Steelhouse Lane, Birmingham B4 6NH, UK.
Ann Pediatr Cardiol. 2014 Jan;7(1):41-4. doi: 10.4103/0974-2069.126552.
A traumatic ventricular septal defect (VSD) resulting from blunt chest injury is a very rare event in children. The clinical symptoms and timing of presentation are variable, so diagnosis and management of traumatic VSD may be challenging. Decision to close the traumatic VSD is usually based on a combination of severity of heart failure symptoms, hemodynamics, and defect size. We present a case of a 7-year-old boy who was run over by a truck and presented with head and liver injury initially. He was subsequently found to have a traumatic VSD. The VSD was closed percutaneously.
钝性胸部损伤导致的创伤性室间隔缺损(VSD)在儿童中是非常罕见的事件。临床症状和出现时间各不相同,因此创伤性VSD的诊断和管理可能具有挑战性。决定关闭创伤性VSD通常基于心力衰竭症状的严重程度、血流动力学和缺损大小的综合考虑。我们报告一例7岁男孩,他被一辆卡车碾压,最初表现为头部和肝脏损伤。随后发现他患有创伤性VSD。该VSD通过经皮方式关闭。