Ender Topal A.Eren M.N.Iltümür K.Gümüş H.2024-04-242024-04-2420101306-7656https://hdl.handle.net/11468/24634Many cases with penetrating cardiac injury are later diagnosed to have suffered injury also to one of the intracardiac structures, mostly interventricular septum. Even ventricular septal defect (VSD) was diagnosed preoperatively, immediate repair is not recommended unless intractable heart failure develops as VSD can shrink or even spontaneously close with time. We present a case of traumatic VSD whose VSD was diagnosed on the postoperative fifth day. He was followed up along two years without repair. Although defect size has enlarged, pulmonary-to-systemic blood flow ratio decreased to 0.94 from 1.4. It may be recommended that if a patient is asymptomatic there is no point in insisting on immediate VSD repair. Copyright © 2010 by Türkiye Klinikleri.eninfo:eu-repo/semantics/closedAccessHeart Septal DefectsPenetratingVentricularWoundsArticle2211521552-s2.0-77953377751Q4