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  • Title: A case of ventricular septal defect and mitral insufficiency after blunt trauma.
    Author: Masuoka A, Kimura N, Katogi T, Suzuki T.
    Journal: Asian Cardiovasc Thorac Ann; 2014 Sep; 22(7):846-8. PubMed ID: 24887820.
    Abstract:
    Few reports have described traumatic heart injury in children. We describe a case of acute mitral regurgitation associated with papillary muscle rupture, traumatic ventricular septal defect, and impending left ventricular free wall rupture due to blunt trauma in a 2-year-old girl. The papillary muscle was sutured to the left ventricular free wall. The septal defect and surrounding ruptured muscle were covered with a pericardial patch, and a Hemashield patch was used to close the ventriculotomy. A residual defect caused by dehiscence of the pericardial patch necessitated reoperation 10 months later. The patient is currently being observed on an outpatient basis.
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