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Clinical cardiology · Jul 1997
Case ReportsPost-traumatic ventricular septal defect following coronary bypass surgery.
- U Bortolotti, A Milano, G Scioti, and G Tartarini.
- Department of Cardiac Surgery, University of Pisa Medical School, Italy.
- Clin Cardiol. 1997 Jul 1;20(7):660-1.
AbstractA 60-year-old patient underwent triple coronary artery bypass grafting following an inferoseptal myocardial infarction and early onset of exertional angina. Four years later he was involved in a car accident during which he sustained an abdominal and thoracic trauma. Approximately 1 month after discharge, a ventricular septal defect was diagnosed by two-dimensional Doppler echocardiography with patency of all grafts at coronary angiography. Closure of the septal defect was successfully accomplished through a right atrial approach. Rupture of the ventricular septum following blunt chest trauma in a patient with previous myocardial revascularization has not been previously reported.
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