Treatment of ventricular septal perforation caused by blunt trauma using the right ventricle approach: A case report
| Autor: | Yuji Kanaoka, Taishi Tamura, Takahiko Yamasawa, Naoki Yamane, Kazuo Tanemoto, Atsushi Tabuchi, Kohei Furusawa, Yasuhiro Yunoki, Yoshiko Watanabe, Noriaki Kuwada |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Case Report 030204 cardiovascular system & hematology Double-patch 03 medical and health sciences 0302 clinical medicine Blunt Traumatic ventricular septal perforation Emergency surgery Internal medicine medicine 030212 general & internal medicine Ventricular Septal Perforation Right ventricle approach business.industry Acute surgery medicine.disease medicine.anatomical_structure Ventricle Blunt trauma Heart failure Cardiology Ventricular pressure Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Cardiology Cases |
| ISSN: | 1878-5409 |
| Popis: | Traumatic ventricular septal perforation (VSP) is a rare condition that can occur following chest trauma and can lead to heart failure. Herein, a case of VSP caused by blunt chest trauma successfully closed using the double-patch technique via the right ventricle after medial sternotomy is presented. This case report highlights the necessity of emergency surgery in the acute phase of traumatic VSP if heart failure is difficult to control. This technique was useful for acute surgery. Learning objectives: Traumatic ventricular septal perforation (VSP) can occur following chest trauma. The timing of surgery depends on the severity of heart failure and the urgency of other traumas. Since the left ventricular pressure is higher than the right ventricular pressure, complete hemostasis of the left ventricle is difficult. Hence, traumatic VSP might be successfully approached and closed via the right ventricle. Here we report a successful closure of traumatic VSP after blunt chest trauma using the right ventricular approach through medial sternotomy. |
| Databáze: | OpenAIRE |
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