• Ann. Thorac. Surg. · Jul 2013

    Case Reports

    Multiple ventricular septal rupture after blunt trauma.

    • Rajesh Sadanandan Pillai, Preetha Prasad, Rajesh Gopalan Nair, Sisir Balakrishna Pillai, Biju Thazhathu Puthenveetil, and Kudakachira Mathew Kuriakose.
    • Department of Cardiovascular and Thoracic Surgery, Government Medical College Hospital, Kozhikode, Kerala, India. rajeshctvs@rediffmail.com
    • Ann. Thorac. Surg. 2013 Jul 1; 96 (1): 297-8.

    AbstractVentricular septal rupture occurring as a result of blunt trauma is a very rare clinical condition. Compression of the heart between the sternum and the vertebral column during late diastole or isovolumetric contraction resulting in sudden increase in the intracardiac pressure is a prerequisite for its occurrence. Sudden relief of the inner pressure becomes impossible when the heart is full, thereby resulting in myocardial contusion and rupture. We report a case of a young schoolboy who presented to us with this serious disease and was successfully treated with surgical closure of the defect with a polytetrafluoroethylene patch.Copyright © 2013 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

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