TY  - JOUR
PY  - 2007//
TI  - Ventricular septal perforation due to weak blunt chest trauma; report of a case
JO  - Kyobu Geka
A1  - Hojo, H.
A1  - Ozaki, M.
A1  - Ogiwara, M.
A1  - Yokote, Y.
A1  - Kyo, S.
SP  - 149
EP  - 152
VL  - 60
IS  - 2
N2  - We report a 67-year-old female patient with ventricular septal perforation after weak blunt chest trauma. She tumbled down on a frozen street. Approximately 1 week later, the patient was aware of shortness of breath on exertion. On admission, holosystolic murmur was detected on chest wall and routine electrocardiogram examination showed ST-T change which suggested myocardial ischemia. Acute myocardial infarction and ventricular septal defect with left-to-right shunt was suspected. The echocardiography and cardiac catheterization revealed the muscular type ventricular septal perforation near the apex with large left-to-right shunt flow (82% shunt ratio). The congestive heart failure was controlled successfully by conservative medical treatment. Surgical repair was scheduled on the 28th day after initial chest trauma because of large left-to-right shunt. A hole of about a diameter of 2 cm with fibrous edge of the muscular septum was closed through a left ventriculotomy using a Dacron patch under cardiopulmonary bypass. Postoperative course was uneventful and the patient was discharged without symptoms of congestive heart failure.<p /> <p>Language: ja</p>
LA  - ja
SN  - 0021-5252
UR  - http://dx.doi.org/
ID  - ref1
ER  -