Shot to the heart: a case of traumatic ventricular septal aneurysm and review of the literature

Pediatric Emergency Care
William E G Cagle, Jennifer E Tucker

Abstract

Traumatic cardiac injuries are an uncommon diagnosis in the pediatric population. Of the traumatic cardiac injuries, more than 95% are contusions. Traumatic ventricular aneurysms are exceptionally rare, and most are detected during long-term follow-up. They are usually successfully managed medically but can require emergent surgical intervention. We report the case of a 6-year-old boy who was in a motor vehicle collision. He was found to have profound sinus bradycardia during initial resuscitation with hypotension. An electrocardiogram showed complete heart block. A cardiologist was consulted, and an echocardiogram was performed, which revealed a ventricular septal aneurysm. The case is followed by a review of the literature on traumatic cardiac injuries and ventricular septal aneurysms in the pediatric population.

References

Feb 1, 1989·Journal of Pediatric Surgery·J J TepasK Butler
Jan 1, 1988·Pediatric Cardiology·E CizmárováJ Masura
Dec 1, 1987·Journal of Pediatric Surgery·D W TellezG H Mahour
Apr 1, 1973·Chest·G M SilverL K Groves
Jan 1, 1969·Circulation·D A KillenV A Vix
Sep 1, 1996·The American Journal of Forensic Medicine and Pathology·G Arcudi, D Marchetti
Feb 27, 1997·The New England Journal of Medicine·R Prêtre, M Chilcott
Dec 10, 1997·Heart·M GenoniM Turina
Aug 6, 1998·The Annals of Thoracic Surgery·R S VeeragandhamA D Wilson
Nov 18, 2000·Journal of Pediatric Surgery·G M TiaoG H Mahour
Mar 8, 2002·Paediatric Anaesthesia·Victor C Baum
Jul 10, 2002·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Christof StammPedro J del Nido
Oct 24, 2007·Surgery Today·Yasufumi Asai, Yoshihiko Kurimoto

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