Delayed ventricular fibrillation following blunt chest trauma in a 4-year-old child

Paediatric Anaesthesia
Riad TomeLuis Gaitini

Abstract

A 4-year-old boy who was involved in a motor vehicle accident as a pedestrian and suffered blunt chest trauma was admitted to the emergency room. Unpredictable delayed ventricular fibrillation was diagnosed and treated successfully 2 h later. This case cannot be classified as commotio cordis as the ventricular fibrillation (VF) developed so long after the sustained chest injury. At the same time, other possible etiologies of VF such as cardiac pathology or electrolyte and metabolic disorders had been ruled out. Thus, an etiological link between the chest trauma and the subsequent VF could not be ruled out and is in fact plausible despite the late onset.

References

Mar 1, 1990·Journal of Pediatric Surgery·S T IldstadL W Martin
Dec 1, 1987·Journal of Pediatric Surgery·D W TellezG H Mahour
Apr 1, 1995·Annals of Emergency Medicine·C MogayzelP Herndon
Apr 1, 1997·Pediatric Emergency Care·R van AmerongenJ Horwitz
Jun 19, 1998·The New England Journal of Medicine·M S LinkN A Estes

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Citations

Apr 19, 2008·Seminars in Thoracic and Cardiovascular Surgery·Clinton R Woosley, Thomas C Mayes

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