%0 Journal Article %T Delayed diagnosis of traumatic ventricular septal perforation in penetrating chest injury: hematoma formation in the ventricular septum in CT suggests perforation %A Akiko Tomita %A Harutatsu Muto %A Koji Hazama %A Naonori Kawashima %A Nozomu Inoue %A Yasuo Shichinohe %A Yuki Tsukamoto %J Archive of "Acute Medicine & Surgery". %D 2019 %R 10.1002/ams2.419 %X Ventricular septal perforation (VSP) can be caused by a penetrating cardiac injury. Diagnosis of VSP tends to be delayed because a shunt might not be detected by color flow Doppler at an early stage following injury %K Heart injury %K penetrating %K perforation %K shunt %K ventricular septum %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6603320/