1. Ventricular Septal Avulsion and Ventricular Septal Defect After Blunt Trauma 
Maura Steed, BS, Vitor Guerra, MD, PhD, Michael R. Recto, MD, Song-Gui Yang, MD, Edwin Frieberg, MD, Charles Fox, MD, Thomas Yeh, MD, PhD 
The Annals of Thoracic Surgery 
Volume 94, Issue 5, Pages (November 2012)
DOI: /j.athoracsur
Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

2. Fig 1
(A) Echocardiogram, left ventricular outflow tract (LVOT), parasternal axis. In diastole, the configuration of the raised septal avulsion matches the defect in the ventricular septum. (B) In early systole, the septal avulsion touches the opposite side of the LVOT, the anterior leaflet of the mitral valve (MV) (C), and still later is seen just before the tip of the avulsion traverses the aortic valve. (D) Four-chamber view demonstrates the ventricular septal defect (VSD) with and without color. (E) A subcostal view shows the fractured irregularity of the VSD channel. (F) Operative specimen without gross necrosis. Microscopically, foci of necrosis were seen surrounded by fibroplasia. (LV = left ventricle; RV = right ventricle.)
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )
Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions