Traumatic ventricular septal rupture associated with rapid progression of heart failure despite low Qp/Qs ratio: a case report View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2016-04-12

AUTHORS

Kosuke Murakawa, Susumu Yoshida, Takayuki Okada, Chie Toyoshima, Reisuke Yuyama, Naoki Minato, Ichiro Shiojima

ABSTRACT

BackgroundVentricular septal rupture (VSR) secondary to blunt chest trauma is rare and associated with a diverse range of symptoms and clinical courses as well as disease severity. We present a case of traumatic VSR in which rapid progression of heart failure was observed in spite of relatively low pulmonary to systemic blood flow (Qp/Qs) ratio.Case presentationA 40-year-old male was transported to the emergency department approximately 12 h after blunt chest trauma. VSR was diagnosed by echocardiography, and right heart catheterization revealed a Qp/Qs ratio of 1.52. Although medical treatment was initially attempted, subsequent rapid progression of heart failure necessitated emergent surgical repair of VSR.ConclusionsBecause small, asymptomatic VSR often close spontaneously, surgical repair of traumatic VSR is indicated when the shunt rate is relatively large or heart failure is present. However, the present case highlights the need to consider emergent surgical repair of traumatic VSR, even when the shunt rate is relatively small. More... »

PAGES

57

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s13019-016-0457-4

DOI

http://dx.doi.org/10.1186/s13019-016-0457-4

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1012231417

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/27068402


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