Traumatic free wall and ventricular septal rupture - 'hybrid' management in a child

Kadner, Alexander; Fasnacht, Margrit; Kretschmar, Oliver; Prêtre, René (2007). Traumatic free wall and ventricular septal rupture - 'hybrid' management in a child. European journal of cardio-thoracic surgery, 31(5), pp. 949-51. Oxford: Oxford University Press 10.1016/j.ejcts.2007.01.068

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A 8-year-old boy showed a traumatic ventricular septal rupture following a blunt chest trauma, and was scheduled for elective catheter closure. Two weeks later, a follow-up echocardiogram revealed a pseudoaneurysm of the anterior wall of the left ventricle. Because of the apical location of the VSD, it was decided to proceed with transcatheter occlusion. After successful VSD closure, the patient was taken to the operation room for surgical repair of the left ventricular pseudoaneurysm. Symptoms and signs seen in patients with ventricular pseudoaneurysms appear to be discrete and variable, and a high clinical index of suspicion with a very close echocardiographic follow-up is strongly recommended after occurrence of a blunt cardiac trauma. The combined 'hybrid' approach of transcatheter closure of the intraventricular rupture followed by surgical closure of the pseudoaneurysm allows for a less invasive and efficient management of this rare combination of post-traumatic ventricular free wall and septal rupture in a child.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiovascular Surgery

UniBE Contributor:

Kadner, Alexander

ISSN:

1010-7940

ISBN:

17337199

Publisher:

Oxford University Press

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:56

Last Modified:

04 May 2014 23:16

Publisher DOI:

10.1016/j.ejcts.2007.01.068

PubMed ID:

17337199

Web of Science ID:

000248468300056

URI:

https://boris.unibe.ch/id/eprint/23978 (FactScience: 45499)

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