Traversat J, Lainé J F, Slama M, Hervé J, Hauvespre P, Aigueperse J, Motté G
Arch Mal Coeur Vaiss. 1986 Jun;79(7):1105-9.
The authors report the case of a post-traumatic ventricular septal defect diagnosed after the detection of a systolic murmur in a 39 year old man, 18 months after a car accident. Two-dimensional echocardiography and angioscintigraphy showed an abnormal cavity at the apex of the heart. At cardiac catheterisation there was a moderate left-to-right ventricular shunt through this cavity. There were no traumatic or atheromatous lesions of the coronary arteries. The operative appearances were of stunned myocardium which had caused a dissecting haematoma of the cardiac apex which ruptured into both ventricular cavities. The lesions were corrected surgically and the systolic murmur disappeared.
作者报告了一例创伤后室间隔缺损病例。该病例为一名39岁男性，在车祸18个月后因发现收缩期杂音而被诊断出患有创伤后室间隔缺损。二维超声心动图和血管闪烁造影显示心脏尖部有一个异常腔隙。心导管检查发现有中度的左向右心室分流通过该腔隙。冠状动脉无创伤性或动脉粥样硬化病变。手术所见为心肌顿抑，导致心脏尖部形成夹层血肿，该血肿破裂进入两个心室腔。通过手术纠正了病变，收缩期杂音消失。
