Gallotti R, Gordini V, Botta M, Pezzano A
G Ital Cardiol. 1976;6(4):726-31.
A case of interventricular septal defect secondary to blunt chest trauma is reported. It was characterized by a disconnection of the interventricular muscolar septal in the anterosuperior part of the heart wall. The diagnosis, suspected by clinical and instrumental parameters, was definitely confirmedy by hemodynamic and contrastographic examination. Repair surgery of the defect with a dacron patch was performed, using extracorporea normothermic circulation seven months after the accident. The patient was examined three months and twelve months after the operation; the clinical examinations did not reveal any cardiac murmur and the patient's health was satisfactory. The incidence, mechanism of rupture of interventricular septum and the main surgical and clinical aspects of this type of pathology are discussed.
报告了一例钝性胸部创伤继发室间隔缺损的病例。其特征为心脏壁前上部室间隔肌性部分断开。根据临床和器械检查参数怀疑该诊断，通过血流动力学和造影检查得以明确证实。事故发生七个月后，采用体外常温循环，用涤纶补片对缺损进行修复手术。术后三个月和十二个月对患者进行了检查；临床检查未发现任何心脏杂音，患者健康状况良好。讨论了室间隔破裂的发生率、机制以及这类病理的主要手术和临床方面。
