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Chest, Vol 91, 778-780, Copyright © 1987 by American College of Chest Physicians

ARTICLES

Nonpenetrating traumatic rupture of the tricuspid valve. Formation of ventricular septal aneurysm and subsequent septal necrosis: recognition by two-dimensional Doppler echocardiography

W Berkery, C Hare, RA Warner, J Battaglia and JL Potts

A 26-year old man was admitted with blunt trauma to the chest following a high-speed deceleration injury. A two-dimensional Doppler echocardiogram demonstrated traumatic rupture of the tricuspid valve and a hematoma in the basilar portion of the interventricular septum. Serial two-dimensional Doppler echocardiographic analyses demonstrated evolutionary formation of a septal aneurysm and subsequent rupture with formation of a ventricular septal defect. The usefulness of the two- dimensional Doppler echocardiogram as a screening tool for cardiac contusion is discussed.




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Copyright © 1987 by the American College of Chest Physicians.