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Spontaneous improvement of a haemodynamically significant ventricular septal defect produced by blunt chest trauma in a child

Published online by Cambridge University Press:  18 November 2008

Pedro Betrián Blasco*
Affiliation:
Department of Pediatric Cardiology, “Valle de Hebrón” Hospital, Barcelona, Spain
Josep Girona Comas
Affiliation:
Department of Pediatric Hemodynamics, “Valle de Hebrón” Hospital, Barcelona, Spain
Ricard del Alcazar Muñoz
Affiliation:
Pediatric Cardiology Unit, Pediatric Department, “Germans Trias i Pujol” Hospital, Badalona, Barcelona, Spain
*
Correspondence to: Pedro Betrián Blasco, C/a Arquitecto Moragas 18, esc A, 4° 2a, CP 08035, Barcelona, Spain. Tel: +34699163749; Fax: +34934893039; E-mail: pedrobetrian@yahoo.es

Abstract

We describe the progress of a girl aged 5 years, who suffered blunt trauma to the chest producing a ventricular septal defect of 1 centimetre in diameter. The shunt generated a mild dilation of the left-sided chambers, and exertional dyspnoea. Three months later, therapeutic catheterisation revealed important diminution in the extent of shunting. We decided, therefore, not to close the defect, and she has since remained asymptomatic.

Type
Brief Report
Copyright
Copyright © Cambridge University Press 2008

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References

1. Reed, C, Tamburro, R, Bugnitz, M, Becker, J, DiSessa, T. Evolution of traumatically acquired infracristal ventricular septal defect. Pediatr Cardiol 1993; 14: 4446.CrossRefGoogle ScholarPubMed
2. Rootman, DB, Latter, D, Ahmed, N. Case report of ventricular septal defect secondary to blunt chest trauma. Can J Surg 2007; 50: 227228.Google Scholar
3. Amorim, MJ, Almeida, J, Santos, A, Bastos, PT. Atrioventricular septal defect following blunt chest trauma. Eur J Cardiothorac Surg 1999; 16: 679682.CrossRefGoogle ScholarPubMed
4. Pesenti-Rossi, D, Godart, F, Dubar, A, Rey, C. Transcatheter closure of traumatic ventricular septal defect: an alternative to surgery. Chest 2003; 123: 21442145.Google Scholar
5. Terui, G, Kaneko, K, Miura, M, Kawazoe, K. Ventricular septal defect secondary to non-penetrating chest trauma. Jpn Circ J 1997; 61: 951953.Google Scholar

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