A case of ventricular septal defect and mitral insufficiency after blunt trauma. (September 2014)

• Record Type: Journal Article
• Authors: Masuoka, Ayumu; Kimura, Naritaka; Katogi, Toshiyuki; Suzuki, Takaaki
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 22:Number 7(2014)
• Page Start: 846
• Page End: 848
• Publication Date: 2014-09
• Subjects: Child -- heart injuries -- heart septum -- heart ventricles -- papillary muscles -- wounds -- nonpenetrating; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/0218492313485372
• Languages: English
• ISSNs: 0218-4923

Abstract

Few reports have described traumatic heart injury in children. We describe a case of acute mitral regurgitation associated with papillary muscle rupture, traumatic ventricular septal defect, and impending left ventricular free wall rupture due to blunt trauma in a 2-year-old girl. The papillary muscle was sutured to the left ventricular free wall. The septal defect and surrounding ruptured muscle were covered with a pericardial patch, and a Hemashield patch was used to close the ventriculotomy. A residual defect caused by dehiscence of the pericardial patch necessitated reoperation 10 months later. The patient is currently being observed on an outpatient basis.