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- J L Jacob, M V Cury, Cury J Jímopr, S A Garzon, A M Lorga, R S Thevenard, N C Machado, and D M Braile.
- Instituto de Moléstias Cardiovasculares de São José do Rio Preto, SP.
- Arq. Bras. Cardiol. 1990 Feb 1; 54 (2): 133-5.
AbstractA 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.
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