Chi Di, Sun Yong, Tan Miaoxin, Zheng Yang, Liu Xianglan, Yu Bo, Wu Jian
Key Laboratory of Myocardial Ischemia, Chinese Ministry of Education, Harbin, Heilongjiang Province, China.
Department of Cardiology, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province 150086, China.
Eur Heart J Suppl. 2016 May;18(Suppl F):F27-F30. doi: 10.1093/eurheartj/suw032. Epub 2016 May 24.
Ventricular septal defect (VSD) is an uncommon complication of penetrating heart injuries, but transcatheter closure has emerged as a new technique and is widely used worldwide. In spite of high success rate and minimal operative mortality, short-term follow-up post-operation and long-term follow-up post-operation have not been observed. In the present study, we report a case of cardiac injury after stabbing himself with a dagger. The patient was diagnosed with a post-traumatic VSD with left-to-right shunt and was transferred to theatre where the defect was successfully repaired. Seven days later, on echocardiography examination, an occluder closing the defect with no residual leak was revealed. During the extensive follow-up over 10 years, no complication of occluder break, translocation and thrombosis formation occurred.
室间隔缺损（VSD）是穿透性心脏损伤的一种罕见并发症，但经导管封堵术已成为一种新技术并在全球广泛应用。尽管成功率高且手术死亡率极低，但尚未观察到术后短期随访和长期随访情况。在本研究中，我们报告了一例用匕首自伤后心脏损伤的病例。该患者被诊断为创伤后室间隔缺损伴左向右分流，并被转至手术室，缺损得以成功修复。七天后，经超声心动图检查，发现封堵器封堵缺损且无残余分流。在长达10年的广泛随访期间，未发生封堵器断裂、移位和血栓形成等并发症。
