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Case Reports
. 2023 Jul 12;7(7):ytad314.
doi: 10.1093/ehjcr/ytad314. eCollection 2023 Jul.

Primary percutaneous closure of a traumatic ventricular septal defect after stab wound to the chest: a case report

Marco Alejandro Solórzano Vázquez  1 , Oscar Samuel Medina Torres  1 , Ashby Daniel Tiscareño Villanueva  1 , Cristian Adrián Villar Valencia  1
Affiliations
Case Reports

Primary percutaneous closure of a traumatic ventricular septal defect after stab wound to the chest: a case report

Marco Alejandro Solórzano Vázquez et al. Eur Heart J Case Rep. .

Abstract

Background: Traumatic ventricular septal defects (VSDs) are life-threatening complications of blunt or stab chest trauma. The standard of care is surgical closure or secondary percutaneous closure due to high surgical risk because of recent sternotomy.

Case summary: We present a 22-year-old male with an ice pick-related VSD. It was successfully closed by primary percutaneous approach. After 6 months, the echo Doppler shows no residual shunt, normal pulmonary artery pressure, and normal biventricular function.

Discussion: To our knowledge, this is one of the first primary percutaneous closures for knife-related VSD. Early diagnosis and treatment can prevent heart failure and long-term complications. Less necrotic tissue surrounding the VSD compared with post-infarction (PI) VSD allows for early and secure treatment. Percutaneous closure is a feasible and effective choice even in patients who had no prior sternotomy or who reject surgery as a primary treatment strategy.

Keywords: Case report; Chest trauma; Primary percutaneous closure; Ventricular septal defect.

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Conflict of interest statement

Conflict of interest: None declared.

Figures

Figure 1
Figure 1
Three-dimensional transthoracic echocardiography shows an apical VSD.
Figure 2
Figure 2
An arteriovenous loop was created with a 20 mm Snare in the left pulmonary artery.
Figure 3
Figure 3
Three-dimensional transthoracic echocardiography shows a nice position of the device.
See this image and copyright information in PMC

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