JACC. Case reports · 2025
Cardiac Injury Causing Traumatic Ventricular Septal Rupture With Right Ventricular Pseudoaneurysm.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Tyagi Mahima, Shotwell Matthew, Power Amelia E, Singh Gurnoor, Kalra Dinesh K
Аннотация
BACKGROUND: Ventricular septal rupture (VSR) is a rare, potentially fatal consequence of blunt cardiac injury (BCI). Concomitant right ventricular (RV) pseudoaneurysm formation is even rarer, and the occurrence of both complications has not to our knowledge been previously reported.
CASE SUMMARY: A 63-year-old man presented with a VSR and a torn tricuspid chord, flail leaflet, and severe tricuspid regurgitation after BCI due to a motor vehicle accident. He declined surgery initially and presented a month later with severe heart failure symptoms. Imaging at that time demonstrated a persistent VSR and a new RV pseudoaneurysm. His condition was not deemed to be amenable to percutaneous closure, and he again declined open surgical repair.
DISCUSSION: VSR after BCI results from acute mechanical forces and/or delayed necrosis, with RV pseudoaneurysm developing as a delayed complication likely due to inflammatory necrosis. Multimodality imaging provides comprehensive anatomical assessment and tissue characterization and guides accurate diagnosis, prognostication, and therapeutic planning.
TAKE-HOME MESSAGE: This case emphasizes the importance of early recognition and the value of serial imaging in blunt cardiac trauma, with surgical repair recommended for significant defects and management tailored to the anatomy, timing of complications, and patient preferences.
CASE SUMMARY: A 63-year-old man presented with a VSR and a torn tricuspid chord, flail leaflet, and severe tricuspid regurgitation after BCI due to a motor vehicle accident. He declined surgery initially and presented a month later with severe heart failure symptoms. Imaging at that time demonstrated a persistent VSR and a new RV pseudoaneurysm. His condition was not deemed to be amenable to percutaneous closure, and he again declined open surgical repair.
DISCUSSION: VSR after BCI results from acute mechanical forces and/or delayed necrosis, with RV pseudoaneurysm developing as a delayed complication likely due to inflammatory necrosis. Multimodality imaging provides comprehensive anatomical assessment and tissue characterization and guides accurate diagnosis, prognostication, and therapeutic planning.
TAKE-HOME MESSAGE: This case emphasizes the importance of early recognition and the value of serial imaging in blunt cardiac trauma, with surgical repair recommended for significant defects and management tailored to the anatomy, timing of complications, and patient preferences.