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

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 (P

SUBMITTER: Solorzano Vazquez MA 

PROVIDER: S-EPMC10369206 | biostudies-literature | 2023 Jul

REPOSITORIES: biostudies-literature