Interatrial Septal Defect Caused by Blunt Trauma in a Heart Donor
A50-year-old man was accepted as a multiorgan donor. The cause of death was cranioencephalic trauma. No pathological antecedents were found. Transthoracic echocardiography showed neither valvular nor contractility abnormalities. Cardiectomy was performed as usual. A traumatic interatrial septal defect was found in the donor heart preparation before transplantation (Figure 1⇓). It did not involve the foramen ovale (Figure 2⇓). The donor heart was not used. Atrial septal defect due to blunt trauma is rare. Only 10 cases of atrioseptal defect due to blunt trauma have been reported in the English-language medical literature, and this is the first one described in a multiorgan donor. Therefore, it is a very uncommon cause of exclusion of a hemodynamically stable heart donor. In summary, inspection of the atrial septum in a heart donor after cardiectomy is mandatory, especially in countries like Spain, where echocardiography in the heart donor is not always performed by an experienced echocardiographer.
Reprint requests to Dr Alfonso Cañas, Department of Cardiothoracic Surgery, Hospital Puerta de Hierro, C/San Martín de Porres, 4, E-28035 Madrid, Spain.
The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke’s Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.
Circulation encourages readers to submit cardiovascular images to Dr Hugh A. McAllister, Jr, St Luke’s Episcopal Hospital and Texas Heart Institute, 6720 Bertner Ave, MC1-267, Houston, TX 77030.
- Copyright © 1999 by American Heart Association