Eur J Cardiothorac Surg 2007;32:384. doi:10.1016/j.ejcts.2007.04.040
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved
Images in cardio-thoracic surgery |
A traumatic ventricular septal defect
Rachid Zegdia,b,*,
Alain Berrebia,
Paul Achouha,b,
Alain Delochea,b
a Assistance Publique-Hôpitaux de Paris, Service de Chirurgie Cardio-Vasculaire, Hôpital Européen Georges Pompidou, Paris, France
b Université René Descartes, Paris V, France
Received 12 March 2007;
received in revised form 27 April 2007;
accepted 30 April 2007.
* Corresponding author. Address: Hôpital Européen Georges Pompidou - Service de Chirurgie Cardiovasculaire, 20, rue Leblanc, 75908 Paris, France. Tel.: +33 1 56 09 37 48; fax: +33 1 56 09 22 19. (Email: rzegdi{at}hotmail.com).
Key Words: Ventricular septal defect • Tricuspid insufficiency • Cardiac trauma
A 21-year-old man underwent emergent surgery for cardiac tamponade after gunshot wound to the right hemithorax. Chest X-ray showed a left-sided hemothorax and a retained bullet in the left chest wall (Fig. 1
). Once bleeding controlled, transesophageal echocardiography revealed a large ventricular septal defect (Fig. 2
) and severe tricuspid insufficiency.
View larger version (123K):
[in this window]
[in a new window]
|
Fig. 1. Preoperative chest X-ray showing a left hemothorax and the retained bullet (the bullet entered through the right hemithorax, crossed the mediastinum transversally and ended its course in the soft tissue of the left hemithorax).
|
|
View larger version (94K):
[in this window]
[in a new window]
|
Fig. 2. Intraoperative transesophageal echocardiography performed after control of ventricular bleeding, revealing a traumatic interventricular septal defect and tricuspid regurgitation. Under cardiopulmonary bypass, the ventricular septal defect was closed with a pericardial patch and the tricuspid valve was repaired.
|
|
