RESUMO
Interventricular septum rupture following blunt chest trauma is a rare cardiac injury that sometimes is difficult to diagnose. It has a high mortality rate, especially when in cases of hemodynamic instability requiring early surgical repair. We report the case of an 18-year old man who suffered blunt thoracoabdominal trauma and hemorrhagic shock who required emergency abdominal surgery on three occasions. He was diagnosed of traumatic rupture of interventricular septum that had not been detected in the initial echocardiography, but was suspected after the right heart catheterism. Urgent cardiac surgery was performed 72 hours later because of hemodynamic instability.
Assuntos
Traumatismos Cardíacos/etiologia , Septos Cardíacos/lesões , Ferimentos não Penetrantes/complicações , Traumatismos Abdominais , Acidentes de Trânsito , Adolescente , Cateterismo Cardíaco , Reações Falso-Negativas , Traumatismos Cardíacos/sangue , Traumatismos Cardíacos/diagnóstico , Traumatismos Cardíacos/diagnóstico por imagem , Traumatismos Cardíacos/cirurgia , Septos Cardíacos/diagnóstico por imagem , Septos Cardíacos/cirurgia , Humanos , Hipóxia/etiologia , Masculino , Traumatismo Múltiplo , Peptídeo Natriurético Encefálico/sangue , Fragmentos de Peptídeos/sangue , Polietilenotereftalatos , Próteses e Implantes , Taquicardia Sinusal/etiologia , Traumatismos Torácicos , UltrassonografiaRESUMO
La rotura del septo interventricular por traumatismo cerrado de tórax es una rara lesión cardíaca cuyo diagnóstico puede ser pasado por alto y que muestra una elevada mortalidad en los casos con inestabilidad hemodinámica que requieren cirugía correctora precoz. Presentamos el caso de un joven de 18 años con traumatismo toracoabdominal cerrado y shock hemorrágico que precisó cirugía abdominal urgente en tres ocasiones. Fue diagnosticado de rotura traumática del septo interventricular no detectada en el ecocardiograma inicial, que se sospechó tras cateterismo cardíaco derecho y se intervino quirúrgicamente de urgencia a las 72 h de su ingreso
We report the case of an 18-year old man who suffered blunt thoracoabdominal trauma and hemorrhagic shock who required emergency abdominal surgery on three occasions. He was diagnosed of traumatic rupture of interventricular septum that had not been detected in the initial echocardiography, but was suspected after the right heart catheterism. Urgent cardiac surgery was performed 72 hours later because of hemodynamic instability
Assuntos
Humanos , Masculino , Adolescente , Traumatismos Torácicos/complicações , Fraturas Fechadas/complicações , Ruptura do Septo Ventricular/diagnóstico , Ruptura do Septo Ventricular/etiologia , Ruptura do Septo Ventricular/cirurgiaRESUMO
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