A case report of blunt cardiac rupture

Singh, Yudhvir; Arra, Ammiel; Cawich, Shamir O; Ramlakhan, Shammi; Naraynsingh, Vijay

doi:10.1016/j.ijscr.2020.07.043

Cited by 4 publications

(9 citation statements)

References 19 publications

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“…First, compared to BCI caused by high-energy trauma accidents, such as motor vehicle collisions or vehicle collisions with pedestrians, the force suffered by the patient in this case was relatively small; thus, the degree of trauma induced may not necessarily be consistent with the severity of the BCI. Similar rare lowenergy collision cases support this conclusion (7,8). In 2019, Akishima et al reported a 17-year-old boy who was accidentally kicked on the lateral side of the right chest during soccer and sustained longitudinal cardiac rupture on the right ventricular antero-inferior wall which was successfully repaired, from compression between the sternum or the costal cartilages and spine, or significant elevation of venous pressure (8).…”

Section: Discussionmentioning

confidence: 82%

“…The severity of BCI and its underlying mechanisms vary depending on the type of blunt trauma. A small number of BCR cases caused Case Report by low-energy traumatic accidents have been reported in previous articles; however, to date, no survival case in which the position of left ventricular rupture is different from that of force have been reported (7,8). For the first time, we report a rare case of BCR caused by a pedestrian collision with a stationary motor vehicle.…”

Section: Introductionmentioning

confidence: 81%

“…In 2019, Akishima et al reported a 17-year-old boy who was accidentally kicked on the lateral side of the right chest during soccer and sustained longitudinal cardiac rupture on the right ventricular antero-inferior wall which was successfully repaired, from compression between the sternum or the costal cartilages and spine, or significant elevation of venous pressure (8). And in 2020, Singh et al reported a 46-year-old male construction worker who fell forward onto a metal rod protruding from the ground at a constructions site and sustained left ventricular injury which was successfully repaired from a displaced rib fracture which was successfully repaired (7). However, the patient suffered from fractures in this case, its internal mechanism might be different from other low-energy collision cases.…”

Section: Discussionmentioning

confidence: 99%

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A rare survival case of blunt left ventricular rupture caused by a low-energy pedestrian collision with a stationary forklift: a case report

et al. 2021

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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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Section: Discussionmentioning

confidence: 82%

Section: Introductionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

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A rare survival case of blunt left ventricular rupture caused by a low-energy pedestrian collision with a stationary forklift: a case report

et al. 2021

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“…A literature review by Singh et al 9 found only 15 reports published between 1957 and 2017 in which patients survived after blunt cardiac rupture (BCR) was diagnosed. Similar case reports1 9 emphasise the rarity and high mortality of this specific type of BCI.…”

Section: Discussionmentioning

confidence: 99%

Male adolescent with cardiac rupture after blunt thoracic trauma

Yeh,

Haak,

ten Hove

et al. 2024

BMJ Case Rep

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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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“…Overall, the mortality of blunt cardiac rupture is as high as 80% [ 3 ]. To the extent of our knowledge, only 18 cases of survival have been reported since the 1950s [ 4 , 5 ]. Despite the rare presentation, the exceptionally high mortality associated with blunt ventricular rupture warrants attention to ensure prompt recognition and management.…”

Section: Introductionmentioning

confidence: 99%

A rare case of survival after traumatic blunt ventricular rupture

Yang

Gent²,

Clements³

et al. 2023

Journal of Surgical Case Reports

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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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A case report of blunt cardiac rupture

Cited by 4 publications

References 19 publications

A rare survival case of blunt left ventricular rupture caused by a low-energy pedestrian collision with a stationary forklift: a case report

A rare survival case of blunt left ventricular rupture caused by a low-energy pedestrian collision with a stationary forklift: a case report

Male adolescent with cardiac rupture after blunt thoracic trauma

A rare case of survival after traumatic blunt ventricular rupture

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