• J Emerg Med · Dec 2012

    Case Reports

    Stroke complicating traumatic ventricular septal defect.

    • Gabriela de Bruin and Ricardo Pereira da Silva.
    • Department of Internal Medicine, Division of Cardiology, Universidade Federal do Ceara, Fortaleza, Ceara, Brazil.
    • J Emerg Med. 2012 Dec 1;43(6):987-8.

    BackgroundTraumatic ventricular septal defect (VSD) occurs in approximately 5% of blunt or penetrating cardiac injuries and can result in rare complications.ObjectivesTo report the serious complication of stroke after a traumatic VSD.Case ReportA 27-year-old man with no previous medical history presented to the Emergency Department with aphasia and right hemiparesis after a stab wound to the chest. He underwent emergent evacuation of a pericardial effusion and repair of a right ventricular wall perforation. Head computed tomography revealed left middle cerebral artery infarct. Post-operatively, he was noted to have a cardiac murmur, and echocardiogram revealed a VSD. The VSD was surgically repaired without complication.ConclusionStroke can complicate traumatic VSDs.Published by Elsevier Inc.

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