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Case Reports
. 2001 Jul;86(1):E6.
doi: 10.1136/heart.86.1.e6.

Unusual localisation of a ventricular septal defect following blunt chest trauma

C Pierli  1 , A Iadanza, A Del Pasqua, G Sinicropi
Affiliations
Case Reports

Unusual localisation of a ventricular septal defect following blunt chest trauma

C Pierli et al. Heart. 2001 Jul.

Abstract

A 64 year old man presented with a traumatic ventricular septal defect following blunt chest trauma 40 years before. Echocardiography and left ventriculography were helpful in locating the unusual septal defect, which was subpulmonary. The shunt was small, but the anomalous chronic overload led to right ventricular failure. The surgical correction was thus too late to improve right ventricular function.

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Figures

Figure 1
Figure 1
Short axis cross sectional echocardiogram showing the bulge (open arrow) of the muscular outlet septum with a ventricular septal defect (arrow). IVS, interventricular septum; LV, left ventricle; RV, right ventricle; RVOT, right ventricular outflow tract.
Figure 2
Figure 2
Selective left ventricular angiogram in right anterior oblique view showing a bulge (arrowheads) of the outlet septum with a subpulmonary ventricular septal defect (arrow). The contrast medium passes from the left ventricle to the dilated right ventricular outflow tract. AO, aorta; LV, left ventricle; PA, pulmonary artery; RV, right ventricle; RVOT, right ventricular outflow tract.
See this image and copyright information in PMC

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