Late interventricular septal defect after blunt chest trauma: a case report and a review of the licterature

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Alberto Molardi
Francesco Nicolini
Igino Spaggiari
Francesco Maestri
Tiziano Gherli

Keywords

blunt cardiac trauma, cardiac contusion, interventricular septal defect

Abstract

Cardiac injuries from blunt chest trauma are usually the result of motor vehicle accidents; cardiac injuries result in 20% of such accidents, but they are also associate to mild-to-moderate sports injuries.The severity of external injuries does not necessary reflect the severity of cardiac trauma. Blunt chest trauma can cause a variety of cardiac injuries such as myocardial contusion, myocardial rupture, pericardial trauma, valvular disruption and acute myocardial infarction.We report a case of traumatic rupture of the interventricular septum caused by a blunt chest trauma following a car crash and its successful surgical repair. In this particular case the clinical signs of interventricular shunt began evident 12-14 days after the accident.

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