Korean Circ J.  2011 Oct;41(10):625-628. 10.4070/kcj.2011.41.10.625.

Delayed Ventricular Septal Rupture Following Blunt Chest Trauma

• Kim NY
• Kwon TJ
• Park JR
• Choi HC
• Cheon YH
• Kang MK
• Hwang SJ
• Park Y
• Jeong YH
• Kwak CH
• Hwang JY

• KMID: 2297925
• DOI: http://doi.org/10.4070/kcj.2011.41.10.625

Abstract

Cardiac injury is a common but occasionally serious complication of blunt chest trauma. A ventricular septal rupture (VSR) is a rare complication and is variable in its presentation, temporal course and severity. Here, we report a rare case of 75-year-old man who developed delayed VSR following blunt chest trauma.

Keyword

Ventricular septal rupture; Thoracic injuries

MeSH Terms

Aged
Humans
Thoracic Injuries
Thorax
Ventricular Septal Rupture

Figure

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  Fig. 1 Twelve-lead electrocardiogram on admission shows complete atrioventricular block.

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  Fig. 2 Electrocardiogram on the 11th day after the accident shows normal sinus rhythm with diffuse T wave inversion on inferior and precordial leads.

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  Fig. 3 Transthoracic echocardiography. A: apical four chamber view: ventricular septal defect (arrow) is seen near the apex. B: subcostal view: continuous wave Doppler shows left-to-right shunt pattern.

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  Fig. 4 Cardiac computed tomography. Ventricular septal rupture and 0.7 cm size shunt (inter-arrow site) is identified at apical four chamber view (A) and short axis view (B). There is no significant stenosis of the left anterior descending artery (C).

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  Fig. 5 Cardiac magnetic resonance imaging revealed apical ventricular septal defect without delayed enhancement.

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