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http://dx.doi.org/10.4250/jcu.2010.18.1.28

DELAYED DIAGNOSIS OF TRAUMATIC VENTRICULAR SEPTAL DEFECT IN PENETRATING CHEST INJURY: SMALL EVIDENCE ON ECHOCARDIOGRAPHY MAKES BIG DIFFERENCE  

Jeon, Ki-Hyun (Cardiovascular Center, Seoul National University Hospital, Department of Internal Medicine, Seoul National University College of Medicine)
Lim, Woo-Hyun (Cardiovascular Center, Seoul National University Hospital, Department of Internal Medicine, Seoul National University College of Medicine)
Kang, Si-Hyuck (Cardiovascular Center, Seoul National University Hospital, Department of Internal Medicine, Seoul National University College of Medicine)
Cho, Ik-Sung (Cardiovascular Center, Seoul National University Hospital, Department of Internal Medicine, Seoul National University College of Medicine)
Kim, Kyung-Hee (Cardiovascular Center, Seoul National University Hospital, Department of Internal Medicine, Seoul National University College of Medicine)
Kim, Hyung-Kwan (Cardiovascular Center, Seoul National University Hospital, Department of Internal Medicine, Seoul National University College of Medicine)
Kim, Yong-Jin (Cardiovascular Center, Seoul National University Hospital, Department of Internal Medicine, Seoul National University College of Medicine)
Sohn, Dae-Won (Cardiovascular Center, Seoul National University Hospital, Department of Internal Medicine, Seoul National University College of Medicine)
Publication Information
Journal of Cardiovascular Imaging / v.18, no.1, 2010 , pp. 28-30 More about this Journal
Abstract
Cardiac trauma from penetrating chest injury is a life-threatening condition. It was reported that < 10% of patients arrives at the emergency department alive. Penetrating chest injury can cause serious damage in more than 1 cardiac structure, including myocardial lacerations, ventricular septal defect (VSD), fistula between aorta and right cardiac chamber and valves. The presence of pericardial effusion (even a small amount) on the initial echocardiography might be the only clue to serious cardiac damage in the absence of definite evidence of anatomical defect in heart. We here present a case, in which clear diagnosis of VSD and pseudoaneurysmal formation was delayed a few days after penetrating chest injury due to the lack of anatomical evidence of damage.
Keywords
Ventricular septal defect; Penetrating chest trauma;
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