Citation

Harel Y, Szeinberg A, Scott WA, Frand M, Vered Z, Smolinski A, Barzilay Z. Pediatr. Cardiol. 1995; 16(3): 127-130.

Affiliation

Pediatric Critical Care Division, Chaim Sheba Medical Center, Tel Hashomer, Israel.

Copyright

(Copyright © 1995, Holtzbrinck Springer Nature Publishing Group)

DOI

unavailable

PMID

7617506

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.

Language: en