一例钝性创伤后室间隔缺损和二尖瓣关闭不全病例。
A case of ventricular septal defect and mitral insufficiency after blunt trauma.
作者信息
Masuoka Ayumu, Kimura Naritaka, Katogi Toshiyuki, Suzuki Takaaki
机构信息
Department of Pediatric Cardiac Surgery, Saitama Medical University International Medical Center, Saitama, Japan
Department of Cardiac Surgery, Section of Pediatric Cardiovascular Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA.
出版信息
Asian Cardiovasc Thorac Ann. 2014 Sep;22(7):846-8. doi: 10.1177/0218492313485372. Epub 2013 Oct 9.
Few reports have described traumatic heart injury in children. We describe a case of acute mitral regurgitation associated with papillary muscle rupture, traumatic ventricular septal defect, and impending left ventricular free wall rupture due to blunt trauma in a 2-year-old girl. The papillary muscle was sutured to the left ventricular free wall. The septal defect and surrounding ruptured muscle were covered with a pericardial patch, and a Hemashield patch was used to close the ventriculotomy. A residual defect caused by dehiscence of the pericardial patch necessitated reoperation 10 months later. The patient is currently being observed on an outpatient basis.
关于儿童创伤性心脏损伤的报道较少。我们描述了一例2岁女童因钝性创伤导致急性二尖瓣反流合并乳头肌破裂、创伤性室间隔缺损及左心室游离壁即将破裂的病例。将乳头肌缝合至左心室游离壁。用心包补片覆盖室间隔缺损及周围破裂的肌肉，并用Hemashield补片关闭心室切开术创口。10个月后，心包补片裂开导致残余缺损，需要再次手术。目前该患者正在门诊接受观察。
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