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Yeh LLY, Haak T, Ten Hove FL, Rhemrev SJ. Male adolescent with cardiac rupture after blunt thoracic trauma. BMJ Case Rep 2024; 17:e256042. [PMID: 38216168 PMCID: PMC10806948 DOI: 10.1136/bcr-2023-256042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/02/2024] [Indexed: 01/14/2024] Open
Abstract
Blunt cardiac injury, including a rupture of the atria or ventricle, is most commonly caused by motor vehicle collisions and falls from great heights. A rupture of a cardiac chamber is an extremely rare diagnosis with a high mortality rate. The best chance at survival can only be accomplished with timely intervention.To raise awareness of this potentially life-threatening injury, we describe the case of a male adolescent with cardiac rupture after blunt thoracic trauma. While the focused assessment with sonography in trauma (FAST) examination was negative, an additional CT showed pericardial effusion. During the operation a rupture of the right ventricle was observed.Even though the physical recovery of our patient is remarkable, the traumatic event still affects his mental well-being and activities in daily life. This case emphasises the need of a multidisciplinary approach to achieve the best possible physical and psychological recovery in multitrauma patients.
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Affiliation(s)
- Lin-Lin Yessica Yeh
- Department of General Surgery, Haaglanden Medisch Centrum, Den Haag, The Netherlands
| | - Timo Haak
- Department of General Surgery, Erasmus Medisch Centrum, Rotterdam, The Netherlands
| | - F Laura Ten Hove
- Department of Radiology, Sint Antonius Ziekenhuis, Nieuwegein, The Netherlands
| | - Steven J Rhemrev
- Department of General Surgery, Haaglanden Medisch Centrum, Den Haag, The Netherlands
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Yang R, Van Gent M, Clements T, Cotton B, Wandling M. A rare case of survival after traumatic blunt ventricular rupture. J Surg Case Rep 2023; 2023:rjad059. [PMID: 36818812 PMCID: PMC9931399 DOI: 10.1093/jscr/rjad059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Accepted: 01/24/2023] [Indexed: 02/16/2023] Open
Abstract
A male in his 40s presented to the trauma center via air ambulance after colliding with a cement wall at highway speeds. Cross-sectional imaging revealed a right ventricular pseudoaneurysm, confirmed by echocardiography. He was taken emergently to the operating room where he was found to have a pericardial laceration, hemopericardium and a right ventricular rupture, which was primarily repaired. Postoperatively, the patient was transferred to intensive care and after 34 days in the hospital was ultimately discharged home.
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Affiliation(s)
- Ryan Yang
- Correspondence address:. Department of General Surgery, McGovern Medical School, 6431 Fannin Street, Houston TX 77030, USA. Tel: 847-481-9370; E-mail:
| | - Michael Van Gent
- Department of Trauma/Surgical Critical Care, Red Duke Trauma Institute, Houston, TX, USA
| | - Thomas Clements
- Department of Trauma/Surgical Critical Care, Red Duke Trauma Institute, Houston, TX, USA
| | - Bryan Cotton
- Department of Trauma/Surgical Critical Care, Red Duke Trauma Institute, Houston, TX, USA
| | - Michael Wandling
- Department of Trauma/Surgical Critical Care, Red Duke Trauma Institute, Houston, TX, USA
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Zhu H, Zhang C, Zhao W, Xu X, Shi Y, Zhao G. A rare survival case of blunt left ventricular rupture caused by a low-energy pedestrian collision with a stationary forklift: a case report. ANNALS OF TRANSLATIONAL MEDICINE 2021; 9:1028. [PMID: 34277828 PMCID: PMC8267266 DOI: 10.21037/atm-21-3031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/04/2021] [Accepted: 06/21/2021] [Indexed: 11/06/2022]
Abstract
Blunt cardiac rupture (BCR) is a rare injury with a high mortality rate. It is usually caused by high-energy traumatic accidents, such as motor vehicle collisions. For the first time, we report a rare case of BCR caused by a pedestrian collision with a stationary motor vehicle, which is a low-energy traumatic accident. This is also the first surgical survival BCR case to be reported of a contralateral ventricular rupture at the direct stress site. A 45-year-old formerly healthy Chinese woman, with no family history of heart disease, was walking in a hurry when she accidentally hit a forklift that was parked on the side of the road. The patient gradually lost consciousness, and was admitted to Hwa Mei Hospital Emergency Center 1 hour later. An ultrasound revealed a pericardial effusion about 1 cm deep and a small amount of peritoneal –35 effusion. Emergency computed tomography (CT) scans revealed a small amount of fluid accumulation in the right thoracic cavity, fractures of the 5th and 6th ribs on the right side, and pericardial effusion. The patient’s blood pressure remained unstable after 1 hour of endotracheal intubation, B-ultrasound-guided pericardiocentesis, and antishock therapy; thus, open-heart surgery was deemed necessary. A large amount of blood accumulation was found in the intact pericardium. There was a small blood clot at the apex of the left ventricle near the interventricular septum. The removal of the clot revealed a tear about 1 cm in diameter. The patient’s BCR was successfully repaired in the surgery. By the end of the 18-month follow-up period, the patient was found to have recovered well without significant complications. The internal mechanism of the case report was deceleration. Prompt diagnosis and emergency thoracotomy when BCR is suspected are key to rescuing patients, regardless of whether the accident is high energy or low energy, or if there is evidence of a direct force acting on the precordium, or the presence of pericardial rupture.
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Affiliation(s)
- Huangkai Zhu
- Department of Cardiothoracic Surgery, Hwa Mei Hospital, University of Chinese Academy of Sciences (Ningbo No. 2 Hospital), Ningbo, China.,Medical School of Ningbo University, Ningbo, China
| | - Chenxu Zhang
- Department of Cardiothoracic Surgery, Hwa Mei Hospital, University of Chinese Academy of Sciences (Ningbo No. 2 Hospital), Ningbo, China.,Medical School of Ningbo University, Ningbo, China
| | - Weidi Zhao
- Department of Cardiothoracic Surgery, Hwa Mei Hospital, University of Chinese Academy of Sciences (Ningbo No. 2 Hospital), Ningbo, China.,Medical School of Ningbo University, Ningbo, China
| | - Xiang Xu
- Department of Cardiothoracic Surgery, Hwa Mei Hospital, University of Chinese Academy of Sciences (Ningbo No. 2 Hospital), Ningbo, China
| | - Yiting Shi
- Department of Cardiothoracic Surgery, Hwa Mei Hospital, University of Chinese Academy of Sciences (Ningbo No. 2 Hospital), Ningbo, China
| | - Guofang Zhao
- Department of Cardiothoracic Surgery, Hwa Mei Hospital, University of Chinese Academy of Sciences (Ningbo No. 2 Hospital), Ningbo, China.,Medical School of Ningbo University, Ningbo, China.,Ningbo Institute of Life and Health Industry, University of Chinese Academy of Sciences, Ningbo, China
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