RUPTURE OF THE INTERVENTRICULAR SEPTUM DUE TO BLUNT TRAUMA
WHILE RUPTURE OF THE HEART WALL FROM NON-PENETRATING INJURY IS NOT UNCOMMOM, RUPTURE OF THE INTERVENTRICULAR SEPTUM IS A RARE COMPLICATION OF TRAUMA TO THE CHEST. THIS INJURY IS MOST FREQUENTLY SEEN IN YOUNG PERSONS WHO HAVE SUFFERED BLUNT TRAUMA FROM THE STEERING WHEEL IN AUTOMOBILE ACCIDENTS. A CASE IS CITED OF A YOUNG MAN ADMITTED TO THE HOSPITAL FOLLOWING AN AUTOMOBILE ACCIDENT. ROENTGEHOGRAMS SHOWED A HEART OF NORMAL SIZE BUT A SECOND X-RAY TWO DAYS LATER SHOWED CONGESTION OF BOTH LUNGS. A SUDDEN HEART FAILURE RESULTED IN DEATH WHICH LED TO THE CLINICAL DIAGNOSIS OF A TRAUMATIC SEPTAL DEFECT WHICH WAS CONFIRMED BY AUTOPSY. AUTOMOBILE ACCIDENTS AND CRUSH INJURIES TO THE CHEST ARE USUAL CAUSES OF CARDIAC TRAUMA. THE DYNAMICS OF SUCH INJURIES MAY BE INFLUENCED BY THE PHASE OF THE CARDIAC CYCLE AT THE MOMENT OF INJURY, AS WELL AS THE DIRECTION OF CHEST COMPRESSION. LACERATIONS MAY OCCURE IMMEDIATELY OR MAY BE DELAYED RESULTING FROM PERFORATION OF NECROTIC CONTUSED MYCARDIUM. THE PRESENCE OF A INTERVENTRICULAR SEPTAL LACERATION IN CASES OF SEVERE TRAUMA MAY NOT BE RECOGNIZED WHEN THE PATIENTS DIE SHORTLY AFTER INJURY. SUCCESSFUL CLOSURE OF ACQUIRED SEPTAL DEFECTS WITH THE USE OF EXTRACORPOREAL CIRCULATION HAVE BEEN REPORTED.
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Supplemental Notes:
- Vol 8, 3 Pp, 3 PHOT, 15 REF
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Authors:
- Tascon-alonso, M
- Rostrup, O
- Publication Date: 1965-4
Media Info
Subject/Index Terms
- TRT Terms: Autopsies; Case studies; Fatalities; Heart; Hospitals; Injuries; Rock fracture; Steering gears; Thorax; Traffic crashes; X rays
- Uncontrolled Terms: Motor vehicle accidents
- Old TRIS Terms: Interventricular septum
- Subject Areas: Highways; Safety and Human Factors;
Filing Info
- Accession Number: 00219821
- Record Type: Publication
- Source Agency: CANADIAN GOOD ROADS ASSOCIATION
- Files: TRIS
- Created Date: Feb 15 1994 12:00AM