Korean Journal of Pediatrics 2005;48(10):1143-1147.
Published online October 15, 2005.
Transcatheter Closure of a Residual Shunt after Surgical Repair of Traumatic Ventricular Septal Defect
Hee Jeong Jeong1, Han Hyuk Lim1, Jae Hyun Yu2, Jae Hwan Lee1, Hong Ryang Kil3
1Department of Pediatrics, College of Medicine, Chungnam National University, Daejeon, Korea
2Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University, Daejeon, Korea
3Department of Pediatrics, College of Medicine, Chungnam National University, Daejeon, Korea
외상성 심실중격결손 수술 후 잔존하는 심실중격결손에 대한 중재적 심도자술을 이용한 폐쇄
정희정1, 임한혁1, 유재현2, 이재환1, 길홍량3
1충남대학교 의과대학 소아과학교실
2충남대학교 의과대학 흉부외과학교실
3충남대학교 의과대학 내과학교실
Correspondence: 
Hong Ryang Kil, Email: gilhong@cnu.ac.kr
Abstract
The traumatic ventricular septal defect (VSD) is a rare but potentially life threatening complication of chest wall injury. The traumatic VSD occurs in up to 4.5% of penetrating cardiac trauma. Most of the patients are usually operated on because of heart failure and/or significant left-to-right shunt. The feasibility of surgical repair under cardiopulmonary bypass may be affected by coexisting pulmonary, cerebral or other vascular injuries. Transcatheter closure of VSD is being considered as an alternative therapeutic modality to surgery in order to avoid the potential risk of cardiopulmonary bypass. We report a patient who underwent a successful transcatheter closure of VSD with an Amplatzer VSD occluder. The patient had a residual VSD with significant left-to-right shunt after surgical repair of post-traumatic VSD using cardiopulmonary bypass.
Key Words: Traumatic ventricular septal defect , Transcatheter closure


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