Stroke Complicating Traumatic Ventricular Septal Defect

Stroke Complicating Traumatic Ventricular Septal Defect

Abstract Background Traumatic ventricular septal defect (VSD) occurs in approximately 5% of blunt or penetrating cardiac injuries and can result in rare complications. Objectives To report the serious complication of stroke after a traumatic VSD. Case report A 27-year-old man with no previous medica...

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Published in:The Journal of emergency medicine Vol. 43; no. 6; pp. 987 - 988
Main Authors: de Bruin, Gabriela, MD, Pereira da Silva, Ricardo, MD, PhD
Format: Journal Article
Language:English
Published: United States Elsevier Inc 01-12-2012
Subjects:
Adult
embolic
Emergency
Heart Ventricles - injuries
Humans
Infarction, Middle Cerebral Artery - complications
Infarction, Middle Cerebral Artery - diagnostic imaging
Male
stab wound
stroke
Tomography, X-Ray Computed
traumatic
VSD
Wounds, Stab - complications
traumatic
stab wound
stroke
VSD
embolic
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Abstract Abstract Background Traumatic ventricular septal defect (VSD) occurs in approximately 5% of blunt or penetrating cardiac injuries and can result in rare complications. Objectives To report the serious complication of stroke after a traumatic VSD. Case report A 27-year-old man with no previous medical history presented to the Emergency Department with aphasia and right hemiparesis after a stab wound to the chest. He underwent emergent evacuation of a pericardial effusion and repair of a right ventricular wall perforation. Head computed tomography revealed left middle cerebral artery infarct. Post-operatively, he was noted to have a cardiac murmur, and echocardiogram revealed a VSD. The VSD was surgically repaired without complication. Conclusion Stroke can complicate traumatic VSDs.
AbstractList BACKGROUNDTraumatic ventricular septal defect (VSD) occurs in approximately 5% of blunt or penetrating cardiac injuries and can result in rare complications.OBJECTIVESTo report the serious complication of stroke after a traumatic VSD.CASE REPORTA 27-year-old man with no previous medical history presented to the Emergency Department with aphasia and right hemiparesis after a stab wound to the chest. He underwent emergent evacuation of a pericardial effusion and repair of a right ventricular wall perforation. Head computed tomography revealed left middle cerebral artery infarct. Post-operatively, he was noted to have a cardiac murmur, and echocardiogram revealed a VSD. The VSD was surgically repaired without complication.CONCLUSIONStroke can complicate traumatic VSDs.
Traumatic ventricular septal defect (VSD) occurs in approximately 5% of blunt or penetrating cardiac injuries and can result in rare complications. To report the serious complication of stroke after a traumatic VSD. A 27-year-old man with no previous medical history presented to the Emergency Department with aphasia and right hemiparesis after a stab wound to the chest. He underwent emergent evacuation of a pericardial effusion and repair of a right ventricular wall perforation. Head computed tomography revealed left middle cerebral artery infarct. Post-operatively, he was noted to have a cardiac murmur, and echocardiogram revealed a VSD. The VSD was surgically repaired without complication. Stroke can complicate traumatic VSDs.
Abstract Background Traumatic ventricular septal defect (VSD) occurs in approximately 5% of blunt or penetrating cardiac injuries and can result in rare complications. Objectives To report the serious complication of stroke after a traumatic VSD. Case report A 27-year-old man with no previous medical history presented to the Emergency Department with aphasia and right hemiparesis after a stab wound to the chest. He underwent emergent evacuation of a pericardial effusion and repair of a right ventricular wall perforation. Head computed tomography revealed left middle cerebral artery infarct. Post-operatively, he was noted to have a cardiac murmur, and echocardiogram revealed a VSD. The VSD was surgically repaired without complication. Conclusion Stroke can complicate traumatic VSDs.
Author Pereira da Silva, Ricardo, MD, PhD
de Bruin, Gabriela, MD
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10.1002/ccd.21659
10.1007/s11748-008-0347-3
10.1016/j.ejcts.2007.04.040
10.1093/eurheartj/ehm423
10.1055/s-2007-965710
10.1017/S1047951108003223
10.1055/s-2006-924704
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stroke
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Snippet Abstract Background Traumatic ventricular septal defect (VSD) occurs in approximately 5% of blunt or penetrating cardiac injuries and can result in rare...
Traumatic ventricular septal defect (VSD) occurs in approximately 5% of blunt or penetrating cardiac injuries and can result in rare complications. To report...
BACKGROUNDTraumatic ventricular septal defect (VSD) occurs in approximately 5% of blunt or penetrating cardiac injuries and can result in rare...
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SubjectTerms Adult
embolic
Emergency
Heart Ventricles - injuries
Humans
Infarction, Middle Cerebral Artery - complications
Infarction, Middle Cerebral Artery - diagnostic imaging
Male
stab wound
stroke
Tomography, X-Ray Computed
traumatic
VSD
Wounds, Stab - complications
Title Stroke Complicating Traumatic Ventricular Septal Defect
URI https://www.clinicalkey.es/playcontent/1-s2.0-S0736467911002885
https://dx.doi.org/10.1016/j.jemermed.2011.03.013
https://www.ncbi.nlm.nih.gov/pubmed/21620609
https://search.proquest.com/docview/1221859274
Volume 43
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