Stroke complicating traumatic ventricular septal defect

Gabriela De Bruin, Ricardo Pereira Da Silva

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Background: Traumatic ventricular septal defect (VSD) occurs in approximately 5% of blunt or penetrating cardiac injuries and can result in rare complications. Objectives: To report the serious complication of stroke after a traumatic VSD. Case report: A 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. Conclusion: Stroke can complicate traumatic VSDs.

Original languageEnglish
Pages (from-to)987-988
Number of pages2
JournalJournal of Emergency Medicine
Volume43
Issue number6
DOIs
StatePublished - Dec 1 2012

Keywords

  • VSD
  • embolic
  • stab wound
  • stroke
  • traumatic

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