Transient Right Bundle Branch Block Resulting From a Blunt Cardiac Injury During a Motor Vehicle Accident

Biondi, Nicholas L; Bhandari, Manoj; Bhyan, Poonam

doi:10.7759/cureus.10534

Cited by 2 publications

(1 citation statement)

References 10 publications

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“…Blunt cardiac injury (BCI) was first reported by Oluff Borch in 1676; however, it was not until three centuries later (1,2) that its surgical repair became successful. BCI can present as asymptomatic transient arrhythmia or a fatal blunt cardiac rupture (BCR) (3). BCR accounts for approximately 0.045% of blunt traumas, but its mortality rate is as high as 89.2%, and most patients lose their lives before reaching hospital (4,5).…”

Section: Introductionmentioning

confidence: 99%

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: Introductionmentioning

confidence: 99%

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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Transient complete right bundle branch block due to lung contusion: case report

Kozaci,

Aydın,

Ersahin

et al. 2024

Journal of Emergency Medicine Case Reports

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Introduction: Right bundle branch block (RBBB) may occur in lung diseases and cardiovascular diseases. Case Report: A 25-year-old male patient was admitted to emergency department after a motorcycle accident. Contusion was detected in bilateral lungs, and pneumothorax with laceration were detected in the right lung. ECG revealed 103 bpm, right axis deviation, and complete RBBB. ECG revealed 83 bpm, complete RBBB continued at the 6th hour after tube thoracostomy, and high sensitive TnI was normal. Chest X-ray was normal on the 4th day of hospitalization, and ECG revealed 74 bpm, normal sinus rhythm. Conclusion: In thoracic trauma, ECG changes may develop as a result of lung contusion. ECG findings improve as the lung contusion heals.

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Transient Right Bundle Branch Block Resulting From a Blunt Cardiac Injury During a Motor Vehicle Accident

Abstract: Biondi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Cited by 2 publications

References 10 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

Transient complete right bundle branch block due to lung contusion: case report

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