Citation

Traversat J, Lainé JF, Slama M, Hervé J, Hauvespre P, Aigueperse J, Motté G. Arch. Mal. Coeur Vaiss. 1986; 79(7): 1105-1109.

Vernacular Title

Contusion cardiaque avec hematome dissequant de la pointe du coeur et

Copyright

(Copyright © 1986, Bailliere)

DOI

unavailable

PMID

3096235

Abstract

The authors report the case of a post-traumatic ventricular septal defect diagnosed after the detection of a systolic murmur in a 39 year old man, 18 months after a car accident. Two-dimensional echocardiography and angioscintigraphy showed an abnormal cavity at the apex of the heart. At cardiac catheterisation there was a moderate left-to-right ventricular shunt through this cavity. There were no traumatic or atheromatous lesions of the coronary arteries. The operative appearances were of stunned myocardium which had caused a dissecting haematoma of the cardiac apex which ruptured into both ventricular cavities. The lesions were corrected surgically and the systolic murmur disappeared.

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