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.