TY - JOUR PY - 1986// TI - Cardiac contusion with dissecting hematoma of the apex of the heart and interventricular communication JO - Archives des Maladies du Coeur et des Vaisseaux A1 - Traversat, J. A1 - Lainé, J. F. A1 - Slama, M. A1 - Hervé, J. A1 - Hauvespre, P. A1 - Aigueperse, J. A1 - Motté, G. SP - 1105 EP - 1109 VL - 79 IS - 7 N2 - 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.
Language: fr
LA - fr SN - 0003-9683 UR - http://dx.doi.org/ ID - ref1 ER -