Traumatic Ventricular Septal Defect After Stab Wound to the Chest Missed by Transthoracic Echocardiography: A Case Report.

Autor: Faloye AO; From the Emory University School of Medicine, Grady Memorial Hospital, Atlanta, Georgia., Gershon RY
Jazyk: angličtina
Zdroj: A & A case reports [A A Case Rep] 2017 Aug 01; Vol. 9 (3), pp. 65-68.
DOI: 10.1213/XAA.0000000000000528
Abstrakt: Traumatic ventral septal defect may be sustained after either blunt force or penetrating trauma to the chest. Severity ranges from asymptomatic to acute decompensated heart failure. Our patient suffered a stab wound to the chest and was initially taken to the operating room for repair of a lacerated right ventricle. Subsequent postoperative hemodynamic deterioration prompted a bedside transthoracic echocardiogram, which failed to identify causal factors. A transesophageal echocardiogram performed immediately after ventral septal defect was demonstrated. This case serves to highlight the gaps in current standard practice and encourages the use of transesophageal echocardiogram as a screening tool in patients after penetrating cardiac injuries.
Databáze: MEDLINE