Journal of the Korean Pediatric Society 1998;41(2):259-263.
Published online February 15, 1998.
A Case of Slowly Progressing Aneurysm of Left Ventricle and Thoracic Aorta Due to Automobile Blunt Trauma
Eun Ju Kim1, Yu Sik Jeon,1, Kyuchul Choeh1, Jae Kyun Shin1, Jeong Tae Ahn2, Dong Man Seo3
1Department of Pediatrics, Eulji Medical College, Tqejon, Korea
2epartment of Thoracic and Cardiovascular Surgery, Eulji Medical College, Tqejon, Korea
3Department of Thoracic and Cardiovascular Surgery, College of Medicine, Ulsan Medical University, Asan Medical Center, Seoul, Korea
둔성 외상에 기인한 좌심실류와 하행 대동맥류의 1예
김은주1, 전유식1, 최규철1, 신제균1, 안정태2, 서동만3
1을지의과대학 소아과학교실
2을지의과대학 흉부외과학교실
3울산의과대학 서울중앙병원 흉부외과학교실
Eun Ju Kim, Email: 1
A five-year-old boy received a blunt trauma on chest by a kindergarten bus on Feb. 29, 1996. Pulmonary hemorrhage and pericardiac effusion were developed, followed by multi-organ failure threatening his life. All symptoms were improving when pansystolic harsh murmur(Ⅲ/Ⅵ) originating from a tiny ventricular rupture with a blood leak to the pericardial space was auscultated on the 12th day after the trauma. This murmur disappeared with the left ventricular healing and progressive aneurysmatic formation. Howeve, on the 61st day after the trauma a continuous murmur(Ⅱ/Ⅲ) of aortic dissecting aneurysm on the left upper sternal border and dorsum was newly auscultated. Two-dimensional color doppler echocardiogram and aortogram by femoral artery catheterization revealed aneurysmatic dilatations of both the left ventricular free wall and descending aorta immediately after the origin of the subclavian artery with mild mitral regugitation. The patient underwent successful corrective surgery.
Key Words: Blunt Trauma, Aneurysm, Left ventricle, Descending aorta

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