Skip to main content
SpringerLink
Log in

A case of an elderly man who required repeated repair of a ventricular septal defect and tricuspid rupture after blunt chest trauma

  • Case Report
  • Published:
General Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Several cases of traumatic ventricular septal defect (VSD) have been reported. However, traumatic VSD complicated by tricuspid rupture is rare. We report a case of traumatic VSD with tricuspid rupture who required repeated repair of both conditions. A 69-year-old man was transferred to our hospital for emergent surgical repair of traumatic VSD and tricuspid rupture. Although emergent repair was performed, a new left-to-right shunt and moderate tricuspid regurgitation appeared during his postoperative course. A reoperation was performed 4 months after the first operation. The borders of the defect were very fibrotic and strong compared with those in the first operation. Surgical treatment of traumatic VSD should be postponed in hemodynamically stable patients. When emergent repair is performed, careful follow-up is necessary to diagnose new VSD.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Ikuta T, Suehiro S, Shibata T, Sasaki Y, Hirai H, Murakami T, et al. A case of early repair of ventricular septal perforation due to blunt chest trauma. Jpn J Cardiovasc Surg. 2002;31:221–3.

    Article  Google Scholar 

  2. Rootman DB, Latter D. Ahmed N. Case report of ventricular septal defect secondary to blunt chest trauma. Can J Surg. 2007;50:227–8.

    PubMed  PubMed Central  Google Scholar 

  3. Genoni M, Jenni R, Turina M. Traumatic ventricular septal defect. Heart. 1997;78:316–8.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  4. Schaffer RB, Berdat PA, Seiler C, Carrel TP. Isolated fracture of the ventricular septum after blunt chest trauma. Ann thorac Surg. 1997;67:843–4.

    Article  Google Scholar 

  5. Stamm C, Feit LR, Geva T, del Nido PJ. Repair of ventricular septal defect and left ventricular aneurysm following blunt chest trauma. Eur J Cardiothorac Surg. 2002;22:154–6.

    Article  PubMed  Google Scholar 

  6. Sarris GE, Dillon T, Murphy D, Mee RBB. Delayed presentation and repair of isolated traumatic ventricular septal defect. Ann Thorac Surg. 1996;62:1194–6.

    Article  PubMed  CAS  Google Scholar 

  7. Fraisse A, Piechaud JF, Avierinos JF, Aubert FA, Colavolpe C, Habib G, et al. Transcatheter closure of traumatic ventricular septal defect: an alternative to surgical repair. Ann Thorac Surg. 2002;74:582–4.

    Article  PubMed  Google Scholar 

  8. Hojo H, Ozaki M, Ogiwara M, Yokote Y, Kyo S. Ventricular septal perforation due to weak blunt chest trauma; report of a case. Kyobu Geka. 2007;60:149–52.

    PubMed  CAS  Google Scholar 

  9. Parmaly LF, Manion WC, Mattingly TW. Nonpenetrating traumatic injury of the heart. Circulation. 1958;18:371–96.

    Article  Google Scholar 

  10. Van Son JAM, Danielson GK, Schaff HV, Miller FA Jr. Traumatic tricuspid valve insufficiency. Experience in thirteen patients. J Thorac Cardiovasc Surg. 1994;108:893–8.

    PubMed  Google Scholar 

  11. Isoda S, Imoto K, Uchida K, Hashiyama N, Yanagi H, Tamagawa H, et al. Sandwich technique via right ventricular incision to repair postinfarction ventricular septal defect. J Card Surg 2004;19:149–50.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardiovascular Surgery, New Tokyo Hospital, 1271 Wanagaya, Matsudo, Chiba, 270-2232, Japan

    Shigefumi Matsuyama

  2. Department of Cardiovascular Surgery, Teikyo University Hospital, 2-11-1 Kaga, Itabashi-ku, Tokyo, 173-8606, Japan

    Tomohiro Imazuru, Kaori Nakagawa, Tsukasa Ikeda, Tadanori Harada, Hiroo Ota, Naomi Ozawa, Mitsuru Iida & Tomoki Shimokawa

Authors
  1. Shigefumi Matsuyama
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Tomohiro Imazuru
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Kaori Nakagawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Tsukasa Ikeda
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Tadanori Harada
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Hiroo Ota
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Naomi Ozawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Mitsuru Iida
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Tomoki Shimokawa
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Shigefumi Matsuyama.

Ethics declarations

Conflict of interest

The authors have declared that no conflict of interest exists.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Matsuyama, S., Imazuru, T., Nakagawa, K. et al. A case of an elderly man who required repeated repair of a ventricular septal defect and tricuspid rupture after blunt chest trauma. Gen Thorac Cardiovasc Surg 66, 480–483 (2018). https://doi.org/10.1007/s11748-017-0866-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11748-017-0866-x

Keywords

Search

Navigation