The Heart Under Pressure: Traumatic Gerbode Defect and Aortic Dissection After a Tire Explosion: A Case Report and Literature Review.

We report an unusual case of a 13-year-old boy who sustained multiple traumatic cardiac injuries-including ventricular septal and Gerbode defects, aortic dissection, and severe tricuspid regurgitation (TR)-following a high-pressure truck tire explosion. The patient underwent successful endovascular and surgical repair, with full recovery observed at the 1-year follow-up. This case highlights the importance of thorough evaluation and individualized management in pediatric patients with complex cardiac trauma resulting from uncommon high-energy mechanisms.