• Shigefumi Matsuyama, Tomohiro Imazuru, Kaori Nakagawa, Tsukasa Ikeda, Tadanori Harada, Hiroo Ota, Naomi Ozawa, Mitsuru Iida, and Tomoki Shimokawa.
• Department of Cardiovascular Surgery, New Tokyo Hospital, 1271 Wanagaya, Matsudo, Chiba, 270-2232, Japan. shimatsuyama@gmail.com.
• Gen Thorac Cardiovasc Surg. 2018 Aug 1; 66 (8): 480-483.

AbstractSeveral cases of traumatic ventricular septal defect (VSD) have been reported. However, traumatic VSD complicated by tricuspid rupture is rare. We report a case of traumatic VSD with tricuspid rupture who required repeated repair of both conditions. A 69-year-old man was transferred to our hospital for emergent surgical repair of traumatic VSD and tricuspid rupture. Although emergent repair was performed, a new left-to-right shunt and moderate tricuspid regurgitation appeared during his postoperative course. A reoperation was performed 4 months after the first operation. The borders of the defect were very fibrotic and strong compared with those in the first operation. Surgical treatment of traumatic VSD should be postponed in hemodynamically stable patients. When emergent repair is performed, careful follow-up is necessary to diagnose new VSD.

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