Percutaneous closure of a post-traumatic ventricular septal defect with a patent ductus arteriosus occluder

Ventricular septal defects resulting from post-traumatic cardiac injury are very rare. Percutaneous closure has emerged as a method for treating this disorder. We wish to report our experience in three patients who underwent percutaneous closure of a post-traumatic ventricular septal defect with a p...

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Bibliographic Details
Published in:Clinics (São Paulo, Brazil) Brazil), 2012-11, Vol.67 (11), p.1281-1283
Main Authors: Xi, Er-Ping, Zhu, Jian, Zhu, Shui-Bo, Yin, Gui-Lin, Liu, Yong, Dong, Yong-Qiang, Zhang, Yu, Xia, Feng
Format: Article
Language:English
Subjects:
Adolescent
Adult
Cardiac Injury
Clinical Science
Ductus Arteriosus, Patent - surgery
Echocardiography
Heart Injuries - surgery
Heart Septal Defects, Ventricular - etiology
Heart Septal Defects, Ventricular - surgery
Heart Ventricles - injuries
Humans
MEDICINE, GENERAL & INTERNAL
Patent Ductus Arteriosus Occlude
Percutaneous Closure
Post-Traumatic Ventricular Septal Defect
Septal Occluder Device
Treatment Outcome
Wounds, Stab - complications
Young Adult
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Summary:Ventricular septal defects resulting from post-traumatic cardiac injury are very rare. Percutaneous closure has emerged as a method for treating this disorder. We wish to report our experience in three patients who underwent percutaneous closure of a post-traumatic ventricular septal defect with a patent ductus arteriosus occluder. We treated three patients with post-traumatic ventricular septal defects caused by stab wounds with knives. After the heart wound was repaired, patient examinations revealed ventricular septal defects with pulmonary/systemic flow ratios (Qp/Qs) of over 1.7. The post-traumatic ventricular septal defects were closed percutaneously with a patent ductus arteriosus occluder (Lifetech Scientific (Shenzhen) Co., LTD, Guangdong, China) utilizing standard techniques. Post-operative transthoracic echocardiography revealed no residual left-to-right shunt and indicated normal ventricular function. In addition, 320-slice computerized tomography showed that the occluder was well placed and exhibited normal morphology. Our experiences indicate that closure of a post-traumatic ventricular septal defect using a patent ductus arteriosus occluder is feasible, safe, and effective.
ISSN:1807-5932
1980-5322
1980-5322
DOI:10.6061/clinics/2012(11)10