Electronic pages: case reports
Unusual
localisation of a ventricular septal defect following blunt chest
trauma
C Pierli, A Iadanza, A Del Pasqua, G Sinicropi
Dipartimento
Malattie Cardiovascolari, Cardiologia Invasiva, Azienda Ospedaliera
Senese, Policlinico Le Scotte, Viale Bracci 6 (III lotto, III piano),
53100 Siena, Italy
Correspondence to: Dr Pierli capierli{at}libero.it
Accepted 14 March 2001
A 64 year old man presented with a traumatic ventricular septal
defect following blunt chest trauma 40 years before. Echocardiography and left ventriculography were helpful in locating the unusual septal
defect, which was subpulmonary. The shunt was small, but the anomalous
chronic overload led to right ventricular failure. The surgical
correction was thus too late to improve right ventricular function.
Keywords: ventricular septal defect; blunt chest trauma; heart failure
© 2001 by Heart
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