Tang Liang, Tang Jian-Jun, Fang Zhen-Fei, Hu Xin-Qun, Shen Xiang-Qian, Zhou Sheng-Hua
Department of Cardiology, The Second Xiangya Hospital of Central South University.
Int Heart J. 2016 Jul 27;57(4):519-21. doi: 10.1536/ihj.15-407. Epub 2016 Jun 29.
Traumatic ventricular septal defect (VSD) resulting from chest trauma, either penetrating or blunt, is a relatively rare occurrence. Herein, we describe the case of a previously healthy 26-year-old man who presented with congestive heart failure, which was secondary to a large traumatic VSD following violent blunt chest trauma. The traumatic VSD was initially closed percutaneously using an Amplatzer atrial septal defect occluder. Post-device closure, however, the patient developed severe intravascular hemolysis refractory to medical treatment. The patient subsequently underwent surgical removal of the Amplatzer device, with concomitant VSD patch closure.
穿透性或钝性胸部创伤导致的创伤性室间隔缺损（VSD）相对少见。在此，我们描述一例既往健康的26岁男性病例，该患者因剧烈钝性胸部创伤后出现大型创伤性VSD继发充血性心力衰竭。创伤性VSD最初通过使用Amplatzer房间隔缺损封堵器进行经皮闭合。然而，封堵器置入后，患者出现严重的血管内溶血，药物治疗无效。患者随后接受了Amplatzer装置的手术取出，并同时进行VSD补片闭合术。
