Korean J Thorac Cardiovasc Surg.  2004 Dec;37(12):999-1002.

Surgical Treatment of Traumatic Ventricular Septal Defect by Penetrating Chest Injury

• Kim SW
• Han JH
• Kang MW
• Na MH
• Yu JH
• Lim SP
• Lee Y
• Choi SW

Abstract

Thirteen year old boy who had been stabbed in his left chest by the knife was transferred to our department from a general hospital, because of the massive bleeding from the intercostal tube drainage. Chest X-ray showed homogeneous density in the left lung field. He was confused and his vital signs were unstable. He was moved into a operating room as soon as possible. After resuscitation, his lacerated left ventricle wound was sutured through median sternotomy. The interventricular shunt was detected with intraoperative transesophageal echocardiography. The traumatic ventricular septal defect was closed via left ventricle using Dacron patch. His postoperative course was uneventful, and he was discharged with small residual shunt.

Keyword

Penetrating trauma; Heart septal defects, ventricular; Heart ventricle, injuries; Echocardiography; Heart septal defects

MeSH Terms

Drainage
Echocardiography
Echocardiography, Transesophageal
Heart Septal Defects
Heart Septal Defects, Ventricular*
Heart Ventricles
Hemorrhage
Hospitals, General
Humans
Lung
Male
Operating Rooms
Polyethylene Terephthalates
Resuscitation
Sternotomy
Thoracic Injuries*
Thorax*
Vital Signs
Wounds and Injuries
Polyethylene Terephthalates