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Unusual localisation of a ventricular septal defect following blunt chest trauma
  1. C Pierli,
  2. A Iadanza,
  3. A Del Pasqua,
  4. G Sinicropi
  1. Dipartimento Malattie Cardiovascolari, Cardiologia Invasiva, Azienda Ospedaliera Senese, Policlinico Le Scotte, Viale Bracci 6 (III lotto, III piano), 53100 Siena, Italy
  1. Dr Pierlicapierli{at}


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.

  • ventricular septal defect
  • blunt chest trauma
  • heart failure

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