Cardiac rupture caused by traffic accident: Case reports and a literature review

Zerbo, Stefania; Spagnolo, Elvira Ventura; Salerno, Sergio; Re, Giuseppe Lo; Guajana, Antonio; Alongi, A.; Argo, Antonina

doi:10.1177/0025817218759164

Cited by 2 publications

(2 citation statements)

References 18 publications

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“…A total of 66 subjects were analyzed. This included death cases with noncardiac rupture (22), myocardial infarction (9), aortic dissection rupture (20), blunt chest injuries (11), and CPR-induced cardiac rupture (4).…”

Section: Variation In Hemopericardium Volumementioning

confidence: 99%

Differences in Cardiac Rupture and Hemopericardium Caused by Blunt Chest Injury, Acute Myocardial Infarct, Aortic Dissection and CPR

Miao

Zhang

et al. 2023

Preprint

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Objective In this study, the hemopericardium volume and pathological characteristics associated with cardiac ruptures caused by blunt violence, AMI, aortic dissection and CPR have been analyzed. The findings might provide reference and data support for deciphering the cause of heart rupture in forensic pathology. Method Pericardial water-injection tests were conducted in 22 noncardiac death subjects. Other study groups included 9 cases of myocardial infarction, 20 cases of aortic dissection rupture, 11 cases of cardiac rupture caused by trauma and 4 cases of cardiac rupture by CPR. The volume of hemopericardium and the pathological features were analyzed for each group. Result The hemopericardium volume in myocardial infarction and dissecting aneurysm rupture were significantly higher than the pericardial injection test in noncardiac subjects (p-value < 0.01). The traumatic cardiac rupture cases had a large range in hemopericardium volume and no significant difference was observed with respect to non-cardiac death cases (p-value > 0.05). The volume of hemopericardium in CPR-induced cardiac rupture had no difference with non-cardiac rupture and it was significantly lower than the pericardial injection test (p-value < 0.01). Conclusion Differences in the volume of hemopericardium induced by different causes of cardiac rupture were observed. It may be related to the state of the cardiac systolic functions during an event of a rupture. The volume of hemopericardium can be used as reference data to determine the mechanism of the rupture. This could also be beneficial in cases of cardiac rupture with similar morphological and pathological features such as severe blunt chest injury and CPR.

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Section: Variation In Hemopericardium Volumementioning

confidence: 99%

Differences in Cardiac Rupture and Hemopericardium Caused by Blunt Chest Injury, Acute Myocardial Infarct, Aortic Dissection and CPR

Miao

Zhang

et al. 2023

Preprint

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“…A common complication of traffic accidents is blunt cardiac injury, but rupture of the heart is rare and highly fatal [1]. Cardiac rupture is a full-thickness laceration of the myocardium [2].…”

Section: Introductionmentioning

confidence: 99%

Left ventricular rupture as a consequence of blunt trauma – case report and literature review

Derlatka,

Kulczycka,

Paluch

et al. 2023

J Pre Clin Clin Res.

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Left ventricular rupture is a form of blunt cardiac trauma that is less common than right ventricular rupture due to the anatomical arrangement of the heart. This case report details the successful surgical treatment of a 63-year-old male patient who suffered a left ventricular apex rupture due to a traffic accident. Despite the low survival rate associated with this condition, the patient recovered well following sternotomy to suture the rupture and evacuate blood from the pericardial sac. In addition, the patient also had a splenic rupture that was managed by general surgeons performing splenectomy. Follow-up echocardiography showed a small amount of fluid in the pericardial sac, and the patient was discharged in good condition with advice to take sotalol for atrial fibrillation. This rare case highlights the importance of prompt diagnosis and immediate surgical intervention for left ventricular rupture in traffic accidents, as it can lead to favourable patient outcomes.

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Cardiac rupture caused by traffic accident: Case reports and a literature review

Cited by 2 publications

References 18 publications

Differences in Cardiac Rupture and Hemopericardium Caused by Blunt Chest Injury, Acute Myocardial Infarct, Aortic Dissection and CPR

Differences in Cardiac Rupture and Hemopericardium Caused by Blunt Chest Injury, Acute Myocardial Infarct, Aortic Dissection and CPR

Left ventricular rupture as a consequence of blunt trauma – case report and literature review

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