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Clinics ; Clinics;67(11): 1281-1283, Nov. 2012. ilus, tab
Artículo en Inglés | LILACS | ID: lil-656718

RESUMEN

OBJECTIVE: Ventricular septal defects resulting from post-traumatic cardiac injury are very rare. Percutaneous closure has emerged as a method for treating this disorder. We wish to report our experience in three patients who underwent percutaneous closure of a post-traumatic ventricular septal defect with a patent ductus arteriosus occluder. METHODS: We treated three patients with post-traumatic ventricular septal defects caused by stab wounds with knives. After the heart wound was repaired, patient examinations revealed ventricular septal defects with pulmonary/systemic flow ratios (Qp/Qs) of over 1.7. The post-traumatic ventricular septal defects were closed percutaneously with a patent ductus arteriosus occluder (Lifetech Scientific (Shenzhen) Co., LTD, Guangdong, China) utilizing standard techniques. RESULTS: Post-operative transthoracic echocardiography revealed no residual left-to-right shunt and indicated normal ventricular function. In addition, 320-slice computerized tomography showed that the occluder was well placed and exhibited normal morphology. CONCLUSION: Our experiences indicate that closure of a post-traumatic ventricular septal defect using a patent ductus arteriosus occluder is feasible, safe, and effective.


Asunto(s)
Adolescente , Adulto , Humanos , Adulto Joven , Conducto Arterioso Permeable/cirugía , Lesiones Cardíacas/cirugía , Defectos del Tabique Interventricular/cirugía , Dispositivo Oclusor Septal , Ecocardiografía , Defectos del Tabique Interventricular/etiología , Ventrículos Cardíacos/lesiones , Resultado del Tratamiento , Heridas Punzantes/complicaciones
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