@article{ref1,
title="Traumatic ventricular septal defect. A case report",
journal="Arquivos Brasileiros de Cardiologia",
year="1990",
author="Jacob, J. L. and Cury, M. V. and Cury J Jímopr,  and Garzon, S. A. and Lorga, A. M. and Thevenard, R. S. and Machado, N. C. and Braile, D. M.",
volume="54",
number="2",
pages="133-135",
abstract="A 34 years old woman, without previous cardiac symptoms, suffered a closed thoracic trauma in a car accident. Three days after presented dyspnea and orthopnea. Physical examination revealed a systolic murmur consistent with ventricular septal defect (VSD). Doppler echocardiography and angiography confirmed the presence of a muscular VSD with severe left-to-right shunt. Surgical intervention was indicated and VSD closure was performed with a patch, through a right atrium approach. Third degree atrioventricular block developed after surgery and a definitive pacemaker was implanted. The patient is asymptomatic and without murmurs in postoperative follow-up.<p /><p>Language: pt</p>",
language="pt",
issn="0066-782X",
doi="",
url="http://dx.doi.org/"
}