Primary percutaneous closure of a traumatic ventricular septal defect after stab wound to the chest: a case report

Abstract Background Traumatic ventricular septal defects are life threatening complications of blunt or stab chest trauma. The standard care is surgical closure secondary percutaneous due to high risk because recent sternotomy. Case summary We present a 22-year-old male with an ice pick related defect. It was successfully closed by primary approach. After 5 months the echo doppler shows no residual shunt, normal pulmonary artery pressure, and biventricular function. Discussion To our knowledge, this one first closures for knife-related VSD. Early diagnosis treatment can prevent heart failure long-term complications. Less necrotic tissue surrounding VSD compared post-infarction allows early secure treatment. Percutaneous feasible effective choice even in patients who had prior sternotomy reject surgery as strategy.