Cardiac Injury Causing Traumatic Ventricular Septal Rupture With Right Ventricular Pseudoaneurysm.

ABSTRACT:

Background

Ventricular septal rupture (VSR) is a rare, potentially fatal consequence of blunt cardiac injury (BCI). Concomitant right ventricular (RV) pseudoaneurysm formation is even rarer, and the occurrence of both complications has not to our knowledge been previously reported.

Case summary

A 63-year-old man presented with a VSR and a torn tricuspid chord, flail leaflet, and severe tricuspid regurgitation after BCI due to a motor vehicle accident. He declined surgery initially and presented a month later with severe heart failure symptoms. Imaging at that time demonstrated a persistent VSR and a new RV pseudoaneurysm. His condition was not deemed to be amenable to percutaneous closure, and he again declined open surgical repair.

Discussion

VSR after BCI results fr

SUBMITTER: Tyagi M 

PROVIDER: S-EPMC12790229 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature