Ruptured interventricular septum after blunt chest trauma: Ultrasonographic diagnosis

Y. Harel, A. Szeinberg, W. A. Scott, M. Frand, Z. Vered, A. Smolinski, Z. Barzilay

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

A 6-year-old child was found under a heavy bookcase that compressed her chest. On admission to the emergency room she was found to be dyspneic with a systolic murmur and complete atrioventricular (A-V) block. Her condition deteriorated rapidly, leading to cardiogenic shock and loss of consciousness. Echocardiographic Doppler evaluation demonstrated a large ventricular septal defect and tricuspid insufficiency. A pericardial patch was put over the tear in the septum, and torn chordae tendinae were reimplanted to the papillary muscles. A pacemaker was inserted. Her situation improved, but on the third day cardiogenic shock and right ventricular dysfunction ensued and the patient expired. A review of the previous 13 cases from the pediatric literature is presented.

Original languageEnglish (US)
Pages (from-to)127-130
Number of pages4
JournalPediatric Cardiology
Volume16
Issue number3
DOIs
StatePublished - May 1 1995

Keywords

  • Atrioventricular block
  • Blunt chest trauma
  • Noninvasive diagnosis
  • Tricuspid insufficiency
  • Ventricular septal defect

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Cardiology and Cardiovascular Medicine

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