TY - JOUR PY - 1995// TI - Ruptured interventricular septum after blunt chest trauma: ultrasonographic diagnosis JO - Pediatric cardiology A1 - Harel, Y. A1 - Szeinberg, A. A1 - Scott, W. A. A1 - Frand, M. A1 - Vered, Z. A1 - Smolinski, A. A1 - Barzilay, Z. SP - 127 EP - 130 VL - 16 IS - 3 N2 - A 6-year-old child was found under a heavy bookcase that compressed her chest. On admission to the emergency room she was found to be dyspneic with a systolic murmur and complete atrioventricular (A-V) block. Her condition deteriorated rapidly, leading to cardiogenic shock and loss of consciousness. Echocardiographic Doppler evaluation demonstrated a large ventricular septal defect and tricuspid insufficiency. A pericardial patch was put over the tear in the septum, and torn chordae tendinae were reimplanted to the papillary muscles. A pacemaker was inserted. Her situation improved, but on the third day cardiogenic shock and right ventricular dysfunction ensued and the patient expired. A review of the previous 13 cases from the pediatric literature is presented.

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