Sternal fractures and delayed cardiac tamponade due to a severe blunt chest trauma

Liang, Huai-min; Chen, Qiulin; Zhang, Eryong; Hu, Jia

doi:10.1016/j.ajem.2015.07.075

Cited by 13 publications

(7 citation statements)

References 6 publications

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“…Although traumatic cardiac problems usually occur immediately during the acute phase, cases have been reported where mild myocardial injury and sternum fracture caused delayed cardiac tamponade [6,7]. Late-onset cardiac injury resulting from a rib stump, as we reported, may be rare.…”

Section: Discussionmentioning

confidence: 69%

Cardiac injury due to the rapid progress of the dislocation of rib fractures: A rare case that required urgent open reduction and internal rib fixation

Okamoto

Ueda

Ichinose

2019

Respiratory Medicine Case Reports

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Background Most rib fractures are treated conservatively, but patients with severe trauma may require surgical treatment. We report a rare case of delayed pericardial injury due to a fractured rib stump. Case presentation A 61-year-old man fell while riding a bicycle and was transferred to our hospital. A computed tomography (CT) scan showed mild rib fractures on the 4th-6th ribs, and he was hospitalized because of acute pain. A few days later, his respiratory condition had worsened. CT showed that the rib fractures progressed significantly, and the stump was in contact with the heart, so we performed an urgent surgical rib fixation. Operative findings revealed intrathoracic hemorrhage by the pericardial laceration because of the rib stump. The 4th-7th ribs were internally fixed using a screwless titanium metal plate, and he was discharged without complications on the 20th postoperative day. Conclusion We experienced a rare case of pericardial injury caused by a rapid dislocation of rib fractures. Urgent surgical treatment was able to prevent a serious complication.

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Section: Discussionmentioning

confidence: 69%

Cardiac injury due to the rapid progress of the dislocation of rib fractures: A rare case that required urgent open reduction and internal rib fixation

Okamoto

Ueda

Ichinose

2019

Respiratory Medicine Case Reports

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“…9 Clearly, this latter event is expected with major traumas, as the high intensity of impact generates serious damage to the heart that can lead to the development of effusion or even the breaking of the ventricular wall. However, although to a lesser extent, even minor traumas may determine cardiac tamponade as indicated by this and other 11 cases 4,9,[10][11][12][13][14][15][16][17][18][19] that have been summarized in Table 1. Notably, there is no direct timing correlation between the traumatic event and cardiac tamponade, that is, the latter occurring from few hours up to months ( Table 1).…”

Section: Discussionmentioning

confidence: 83%

Cardiac tamponade as a late complication of a minor trauma due to syncope: A case report and literature review

Guarino

Bologna

Giorgi

et al. 2020

Hong Kong j. emerg. med.

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Haemopericardium with cardiac tamponade following minor blunt trauma is a rare, life-threatening condition. The diagnosis of cardiac tamponade as well as therapeutic management may be delayed, since the link between trauma and illness is often overlooked. We report the case of an old woman who developed a relatively delayed cardiac tamponade due to an otherwise minor blunt chest trauma following syncope.

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“…In the present case, the first assessment of echocardiography and ECG revealed not only apparent tricuspid regurgitation but relatively small mitral regurgitation, pericardial effusion, and bi-fascicular block. Fortunately, none of the injuries were fatal in this case, but such injuries should be watched carefully because several complications, including valve insufficiency, cardiac tamponade, and complete atrioventricular block, can occur in the subacute phase of trauma ( 15 , 16 ). In this case, the pre-operative findings were as follows: 1) severe TR due to ruptured chordae tendineae of the anterior leaflet, 2) moderate MR with AML prolapse of the medial side, 3) sternal fracture at the level of the right ventricle (RV) outflow tract, 4) myocardial contusion in the left ventricle (LV) inferior septal, and 5) RV and RA- dilatation that progressed gradually.…”

Section: Discussionmentioning

confidence: 84%

Tricuspid and Mitral Valve Regurgitation with Bi-fascicular Block Following a Horse Kick

et al. 2018

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A 40-year-old man was transferred to our hospital following an isolated horse kick injury to the anterior chest wall. The case showed bi-fascicular block, severe tricuspid valve regurgitation due to ruptured chordae tendineae of the anterior leaflet, moderate mitral valve regurgitation due to prolapse of mitral anterior leaflet, and hypokinetic motion of the inferior septal wall. Both tricuspid and mitral insufficiency were completely repaired by a surgical operation. Fortunately, these injuries were not fatal in this case, but the comprehensive assessment of cardiac damage and careful observation are important for managing patients with cardiac injury.

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Sternal fractures and delayed cardiac tamponade due to a severe blunt chest trauma

Cited by 13 publications

References 6 publications

Cardiac injury due to the rapid progress of the dislocation of rib fractures: A rare case that required urgent open reduction and internal rib fixation

Cardiac injury due to the rapid progress of the dislocation of rib fractures: A rare case that required urgent open reduction and internal rib fixation

Cardiac tamponade as a late complication of a minor trauma due to syncope: A case report and literature review

Tricuspid and Mitral Valve Regurgitation with Bi-fascicular Block Following a Horse Kick

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