压力下的心脏：轮胎爆炸后创伤性Gerbode缺损与主动脉夹层：一例报告及文献综述

The Heart Under Pressure: Traumatic Gerbode Defect and Aortic Dissection After a Tire Explosion: A Case Report and Literature Review.

作者信息

Biçer Bilgehan Betül, Aykan Hayrettin Hakan, Tuzdelen Elif, Sabuncu Timuçin, Güvener Murat

机构信息

Hacettepe University, Pediatric Cardiology, Ankara, Türkiye.

Hacettepe University, Life Support Center, Ankara, Türkiye.

出版信息

Pediatr Cardiol. 2025 Sep 3. doi: 10.1007/s00246-025-03998-z.

DOI:10.1007/s00246-025-03998-z

PMID:40900192

Abstract

We report an unusual case of a 13-year-old boy who sustained multiple traumatic cardiac injuries-including ventricular septal and Gerbode defects, aortic dissection, and severe tricuspid regurgitation (TR)-following a high-pressure truck tire explosion. The patient underwent successful endovascular and surgical repair, with full recovery observed at the 1-year follow-up. This case highlights the importance of thorough evaluation and individualized management in pediatric patients with complex cardiac trauma resulting from uncommon high-energy mechanisms.

摘要

我们报告了一例不同寻常的病例，一名13岁男孩在高压卡车轮胎爆炸后遭受了多处创伤性心脏损伤，包括室间隔缺损、Gerbode缺损、主动脉夹层和严重三尖瓣反流（TR）。患者接受了成功的血管内和手术修复，在1年随访时观察到完全康复。该病例强调了对因罕见高能机制导致的复杂心脏创伤的儿科患者进行全面评估和个体化管理的重要性。