Journal of Cardiovascular Imaging

  • 제18권1호
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  • Pages.28-30
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  • 2010
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  • 2586-7210(pISSN)
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  • 2586-7296(eISSN)
한국심초음파학회 (Korean Society of Echocardiography)
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DELAYED DIAGNOSIS OF TRAUMATIC VENTRICULAR SEPTAL DEFECT IN PENETRATING CHEST INJURY: SMALL EVIDENCE ON ECHOCARDIOGRAPHY MAKES BIG DIFFERENCE

  • Jeon, Ki-Hyun (Cardiovascular Center, Seoul National University Hospital, Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Lim, Woo-Hyun (Cardiovascular Center, Seoul National University Hospital, Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Kang, Si-Hyuck (Cardiovascular Center, Seoul National University Hospital, Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Cho, Ik-Sung (Cardiovascular Center, Seoul National University Hospital, Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Kim, Kyung-Hee (Cardiovascular Center, Seoul National University Hospital, Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Kim, Hyung-Kwan (Cardiovascular Center, Seoul National University Hospital, Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Kim, Yong-Jin (Cardiovascular Center, Seoul National University Hospital, Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Sohn, Dae-Won (Cardiovascular Center, Seoul National University Hospital, Department of Internal Medicine, Seoul National University College of Medicine)
  • 발행 : 2010.03.27
⟨ 이전 논문 다음 논문 ⟩

초록

Cardiac trauma from penetrating chest injury is a life-threatening condition. It was reported that < 10% of patients arrives at the emergency department alive. Penetrating chest injury can cause serious damage in more than 1 cardiac structure, including myocardial lacerations, ventricular septal defect (VSD), fistula between aorta and right cardiac chamber and valves. The presence of pericardial effusion (even a small amount) on the initial echocardiography might be the only clue to serious cardiac damage in the absence of definite evidence of anatomical defect in heart. We here present a case, in which clear diagnosis of VSD and pseudoaneurysmal formation was delayed a few days after penetrating chest injury due to the lack of anatomical evidence of damage.

키워드

참고문헌

  1. Campbell NC, Thomson SR, Muckart DJ, Meumann CM, Van Middelkoop I, Botha JB. Review of 1198 cases of penetrating cardiac trauma. Br J Surg 1997;84:1737-40. https://doi.org/10.1002/bjs.1800841225
  2. Mulder DG. Stab Wound of the Heart. Ann Surg 1964;160:287-91. https://doi.org/10.1097/00000658-196408000-00017
  3. Karrel R, Shaffer MA, Franaszek JB. Emergency diagnosis, resuscitation, and treatment of acute penetrating cardiac trauma. Ann Emerg Med 1982;11:504-17. https://doi.org/10.1016/S0196-0644(82)80074-7
  4. Cowgill LD, Campbell DN, Clarke DR, Hammermeister K, Groves BM, Woelfel GF. Ventricular septal defect due to nonpenetrating chest trauma: use of the intra-aortic balloon pump. J Trauma 1987;27:1087-90. https://doi.org/10.1097/00005373-198709000-00023
  5. Bromberg BI, Mazziotti MV, Canter CE, Spray TL, Strauss AW, Foglia RP. Recognition and management of nonpenetrating cardiac trauma in children. J Pediatr 1996;128:536-41. https://doi.org/10.1016/S0022-3476(96)70366-9
  6. Rollins MD, Koehler RP, Stevens MH, Walsh KJ, Doty DB, Price RS, Allen TL. Traumatic ventricular septal defect: case report and review of the English literature since 1970. J Trauma 2005;58:175-80. https://doi.org/10.1097/01.TA.0000066147.57530.2E
  7. Hee-Jung Yun, Seung-Won Jin, Young-Yong Ahn, Joo-Hyun Lee, Young-Joo Kim, Jong-Beom Kwan, Ho-Joong Youn, Keon Park, Jun- Chul Park, Chi-Kyung Kim, Jae-Hyung Kim, Soon-Jo Hong, Kyu-Bo Choi. A case of isolated ventricular septal rupture following non-penetrating chest trauma. J Cardiovascular Ultrasound. 2001:9:157-60
  8. Rotman M, Peter RH, Sealy WC, Morris JJ Jr. Traumatic ventricular septal defect secondary to nonpenetrating chest trauma. Am J Med 1970; 48:127-31. https://doi.org/10.1016/0002-9343(70)90107-5

피인용 문헌

  1. Imaging Patients with Cardiac Trauma vol.32, pp.3, 2010, https://doi.org/10.1148/rg.323115123
  2. Managing a traumatic ventricular septal defect with atrial septal defect occluder device vol.23, pp.3, 2013, https://doi.org/10.1017/s1047951112001059
  3. Undetected Aorto-RV Fistula With Aortic Valve Injury and Delayed Cardiac Tamponade following a Chest Stab Wound: A Case Report vol.18, pp.2, 2010, https://doi.org/10.5812/traumamon.11607
  4. Penetrating Trauma Resulting in Ventricular Septal Defect vol.4, pp.5, 2014, https://doi.org/10.4236/wjcs.2014.45012
  5. Imaging Assessment of Gunshot Wounds vol.36, pp.1, 2010, https://doi.org/10.1053/j.sult.2014.10.005
  6. Screening for Occult Penetrating Cardiac Injuries vol.261, pp.3, 2010, https://doi.org/10.1097/sla.0000000000000713
  7. Delayed Presentation of Cardiac Injury after a Penetrating Stab Wound to the Chest vol.82, pp.1, 2010, https://doi.org/10.1177/000313481608200118
  8. Delayed diagnosis of traumatic ventricular septal perforation in penetrating chest injury: hematoma formation in the ventricular septum in CT suggests perforation vol.6, pp.3, 2010, https://doi.org/10.1002/ams2.419
  9. Ventricular Septal Rupture After Blunt Chest Trauma in an Infant: A Case Report and Mini-Review vol.8, pp.None, 2010, https://doi.org/10.3389/fped.2020.00316