Premium
Left Ventricular to Right Atrial Septal Defect Secondary to Blunt Thoracic Trauma Diagnosed by Transesophageal Echocardiography
Author(s) -
WILSON VANCE E.,
KIRSCH MARVIN M.,
STARKEY THOMAS D.,
ARMSTRONG WILLIAM F.
Publication year - 1991
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.1540-8175.1991.tb01201.x
Subject(s) - medicine , ventricle , shunt (medical) , cardiology , blunt , cardiac catheterization , regurgitation (circulation) , heart septal defect , heart murmur , right atrium , radiology
A case report is presented of a 58‐year‐old man who developed a new holosystolic murmur 4 months after a high‐speed motor vehicle accident. Cardiac catheterization demonstrated a left‐to‐right shunt at the right atrial level. Intraoperative transesophageal echocardiography (TEE) identified and localized a discrete atrioventricular septal defect associated with a shunt from the left ventricle to the right atrium without tricuspid regurgitation, findings that were confirmed after surgical exploration. TEE is recommended for patients with a heart murmur and a history of blunt cardiac trauma, may permit early diagnosis, and may allow surgical repair in selected patients without pre‐operative catheterization. (ECHOCARDIOGRAPHY, Volume 8, May 1991)