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Traumatic Ventricular Septal Defect Caused by a Horse Kick Injury: 2 Rare Pediatric Cases.
JACC. Case reports    August 2, 2025   Volume 30, Issue 21 104350 doi: 10.1016/j.jaccas.2025.104350
Weixler VHM, Aldana-Aguirre J, Zaulan O, Chin V, Guerguerian AM, Mertens L, Honjo O.We present 2 cases of traumatic ventricular septal defects (VSDs), both caused by horse kick injuries. Given this rare but critical condition, we decided to share our experiences and the lessons learned managing these cases. Methods: The first patient, a 12-year-old girl, was trampled by a horse, sustained a traumatic apical ventricular septal defect with pseudoaneurysm, was stabilized first, and underwent surgical closure 19 days after the injury. The second patient, a 9-year-old girl, was kicked by a horse in the chest; developed profound cardiogenic shock; and was found to have multiple lar...