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Ann Thorac Surg 1999;67:843-844
© 1999 The Society of Thoracic Surgeons

Case Reports

Isolated fracture of the ventricular septum after blunt chest trauma

Roland B. Schaffer, MDa, Pascal A. Berdat, MDa, Christian Seiler, MDb, Thierry P. Carrel, MDa

a Clinic for Thoracic and Cardiovascular Surgery, University Hospital, Berne, Switzerland
b Department of Cardiology, University Hospital, Berne, Switzerland

Accepted for publication August 31, 1998.

Address reprint requests to Dr Carrel, Clinic for Thoracic and Cardiovascular Surgery, University Hospital, CH-3010 Berne, Switzerland
e-mail: thierry.carrel{at}insel.ch

Isolated rupture of of the ventricular septum after blunt chest trauma is a very rare traumatic affection. A 21-year-old man was admitted to our hospital because of blunt chest trauma and a forearm fracture. Initial echocardiography did not show any intracardiac or extracardiac pathologic lesions, but 12 hours later this examination was repeated because of the onset of a holosystolic murmur. An unusual traumatic rupture of the ventricular septum was demonstrated. The hemodynamically stable condition of the patient allowed surgical repair to be performed 3 months later.




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