Surgical Management for Traumatic Septal Rupture in a Child With Cardiogenic Shock

A 12-year-old boy had a blunt chest trauma in a motor vehicle accident. He arrested on arrival to the hospital and underwent clamshell thoracotomy for bilateral haemothorax. He required direct cardiac massage and massive transfusion for chest wall bleeding and pulmonary haemorrhage. Computerised tomography revealed a large apical ventricular septal defect (VSD) (Figure 1A). He developed cardiogenic shock with blood pressure 65/50 mmHg, central venous pressure 15 mmHg and lactate of 24 mmol/L, despite adrenaline/noradrenaline at 1.5 mcg/kg/min and vasopressin at 0.06 units/kg/hr.

Source: Heart, Lung and Circulation - December 13, 2021 Category: Cardiology Authors: Antonia Schulz, Anika Rath, Siva P. Namachivayam, Igor E. Konstantinov Tags: Image Source Type: research