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Ryan L, Skinner DL, Rodseth RN. Ventricular septal defect following blunt chest trauma. J Emerg Trauma Shock. 2012;5(2):184-7doi: 10.4103/0974-2700.96492.
Ryan, L., Skinner, D. L., & Rodseth, R. N. (2012). Ventricular septal defect following blunt chest trauma. Journal of emergencies, trauma, and shock, 5(2), 184-7. https://doi.org/10.4103/0974-2700.96492
Ryan, Lisa, et al. "Ventricular septal defect following blunt chest trauma." Journal of emergencies, trauma, and shock vol. 5,2 (2012): 184-7. doi: https://doi.org/10.4103/0974-2700.96492
Ryan L, Skinner DL, Rodseth RN. Ventricular septal defect following blunt chest trauma. J Emerg Trauma Shock. 2012 Apr;5(2):184-7. doi: 10.4103/0974-2700.96492. PMID: 22787351; PMCID: PMC3391845.
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J Emerg Trauma Shock. 2012 Apr;5(2):184-7. doi: 10.4103/0974-2700.96492.

Ventricular septal defect following blunt chest trauma.

Journal of emergencies, trauma, and shock

Lisa Ryan, David L Skinner, Reitze N Rodseth

Affiliations

  1. Department of Anaesthetics, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, KwaZulu-Natal, South Africa.

PMID: 22787351 PMCID: PMC3391845 DOI: 10.4103/0974-2700.96492

Abstract

We present a 32-year-old male with ventricular septal defect (VSD) following blunt chest trauma. Traumatic VSD is a rare but potentially life-threatening injury, the severity, course and presentation of which are variable. While the diagnosis of myocardial injury may be challenging, cardiac troponins are useful as a screening and diagnostic test. The proposed pathophysiological mechanisms in the development of traumatic VSD are early mechanical rupture and delayed inflammatory rupture. We conducted a literature review to investigate the pathogenesis, distribution of patterns of presentation, and the associated prognoses in patients with VSD following blunt chest trauma. We found that traumatic VSDs diagnosed within 48 hours were more likely to be severe, require emergency surgery and were associated with a higher mortality. Children with traumatic VSDs had an increased mortality risk. Smaller lesions may be managed conservatively but should be followed up to detect late complications. In both groups elective repair was associated with a good outcome.

Keywords: Blunt cardiac injury; blunt chest trauma; post-traumatic; ventricular septal defect

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