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Kotrec, M., Jassal, D.S., Zieroth, S., Freed, D.H. and Tam, J.W. (2011) Ventricular Septal Defect as a Result of Direct Trauma from Mechanical Mitral Valve Prosthesis. Canadian Journal of Cardiology, 27, e21-e23.

has been cited by the following article:

• TITLE: Ventricular Septal Defect after Blunt Trauma in a Case of Preexisting Prosthetic Mitral Valve

  AUTHORS: Bhargava Nishith, Mangukia Chirantan, Virmani Sanjula, Singh Harpreet, Satsangi K. Deepak

  KEYWORDS: Blunt Trauma Chest, Ventricular Septal Defect, Prosthetic Mitral Valve

  JOURNAL NAME: World Journal of Cardiovascular Surgery, Vol.4 No.12, December 15, 2014

  ABSTRACT: We present a case of an isolated large ventricular septal defect (VSD) following blunt chest trauma in a motor vehicle accident in the patient with preexisting mechanical mitral valve. Transthoracic echocardiography revealed a large muscular VSD with significant left to right shunt along with septal edema. Surgical repair was performed in view of Qp:Qs of 2.5 with significant hemodynamic instability despite intra-aortic balloon pump. The ventricular septal defect was found in apical muscular portion of the interventricular septum, which was closed through left ventriculotomy. We here discuss the possible mechanisms of damage and importance of timely surgery. To conclude, minor looking external injury might contain devastating damage inside, especially with patients on anti-coagulant therapy.