Traumatic ventricular septal defect

摘要

A 26 year old man was admitted to hospital following a traffic accident. He had been sitting in the back of a car without wear- ing a seat belt. He suffered crush injuries on the anterior chest wall, trunk, and legs. On admission he was awake and coopera- Tive, but restless, and obviously in severe Pain. Radiography of the skull, facial Bones, chest, spine, pelvis, and legs Revealed a shaft fracture of the left femur And tibia and fracture of the 7th and 8th Right ribs. The patient was transferred to The University Hospital of Zurich for fur- Ther assessment and surgical repair of the Lower limb fractures three days later.