Delayed Diagnosis of Traumatic Ventricular Septal Defect in Penetrating Chest Injury: Small Evidence on Echocardiography Makes Big Difference
Journal of Cardiovascular Ultrasound
; : 28-30, 2010.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-57280
Responsible library:
WPRO
ABSTRACT
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.
Full text:
Available
Health context:
Sustainable Health Agenda for the Americas
Health problem:
Goal 1 Equitable access to health services
Database:
WPRIM (Western Pacific)
Main subject:
Aorta
/
Pericardial Effusion
/
Thoracic Injuries
/
Thorax
/
Echocardiography
/
Aneurysm, False
/
Lacerations
/
Emergencies
/
Delayed Diagnosis
/
Fistula
Type of study:
Diagnostic study
Aspects:
Implementation research
Limits:
Humans
Language:
English
Journal:
Journal of Cardiovascular Ultrasound
Year:
2010
Document type:
Article