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外伤性室间隔缺损漏诊 1 例报告。

Missed Traumatic Conoventricular Septal Defect: A Case Report.

机构信息

Department of Cardiothoracic Surgery, The Lu'an Hospital Affiliated to Anhui Medical University, Lu'an, China.

出版信息

Heart Surg Forum. 2021 Jul 29;24(4):E680-E683. doi: 10.1532/hsf.3847.

Abstract

Traumatic ventricular septal defects (VSDs) after penetrating trauma to the left chest are rare. Most of the traumatic VSDs are located in the muscular ventricular septum, and a few reports place them in the membranous ventricular septum. There has been no report of traumatic conoventricular VSD by penetrating trauma. We present a case of penetrating cardiac injury (PCI). The rupture of the right ventricular free wall was found and repaired in emergency operation. This is the first report of the use of auricular forceps to control cardiac rupture bleeding. After operation, we found traumatic conoventricular VSD, which was repaired under cardiopulmonary bypass.

摘要

穿透性左胸外伤后发生的创伤性室间隔缺损(VSD)较为罕见。大多数创伤性 VSD 位于肌性室间隔,少数报告位于膜性室间隔。尚无穿透性外伤导致的共同房室 VSD 的报道。我们报告了 1 例穿透性心脏损伤(PCI)病例。在急诊手术中发现并修复了右心室游离壁破裂。这是首例报道使用耳钳控制心脏破裂出血的病例。术后发现创伤性共同房室 VSD,在体外循环下进行了修复。

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