Repair in the subacute stage of ventricular septal defect due to nonpenetrating chest trauma
Hamada, Y.; Niitu, K.; Yasui, Y.; Endoh, K.
Nihon Kyobu Geka Gakkai 30(12): 1996-2001
1982
ISSN/ISBN: 0369-4739 PMID: 7169564 Document Number: 186452
A 32-yr-old male carpenter, while working at a saw mill accidentally received a strong chest contusion in the anterior precordium. He was stunned for 5 min and then complained of chest pain and tachycardia. A cardiac murmur was recognized. Two days later he was transferred to the clinic for further evaluation. After admission he was treated with conservative therapy, and digitalis, diuretics and antibiotics were given. Cardiac catheterization with angiocardiography and ultrasonic tomography demonstrated the interventricular septal defect and mitral incompetence. Signs of congestive heart failure developed progressively. Twenty days after his injury, intracardiac repair was done. VSD 3 .times. 2 cm in the apical septum was closed with a teflon patch and the mitral valve regurgitation was repaired by annuloplication. The postoperative course was uneventful except for serum hepatitis. A precordial systolic murmur was found after the 4th postoperative day, but the dye-dilution curve showed no abnormality. Systolic murmur disappeared spontaneously after 6 mo., and the patient is now doing well.