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Right Ventricular Perforation by a Rib Fragment Following Blunt Thoracic Trauma
Authors: J. Pometlová; L. Pleva; M. Šír; J. Gloger 1; J. Chmelová 2
Authors‘ workplace: Traumacentrum FN Ostrava Poruba, přednosta: doc. MUDr. Leopold Pleva, CSc. ; Kardiochirurgické centrum FN Ostrava Poruba, přednosta: MUDr. Radim Brát, Ph. D., MBA 1; Radiodiagnostický ústav FN Ostrava Poruba, přednostka: MUDr. Alena Jahodová 2
Published in: Rozhl. Chir., 2011, roč. 90, č. 11, s. 656-660.
Category: Monothematic special - Original
Overview
Blunt chest trauma produces a variety of injuries. Penetrating cardiac injuries from rib fractures are extremely rare. We report the unusual case of a patient with multiple rib fractures and penetrating cardiac injury from dislocated segment of fractured VIII left rib. We did find eight patients reported in the literature having penetrating cardiac injuries from rib fractures. The clinical finding and the diagnosis of this injuries are discussed.
Key words:
blunt chest trauma – penetrating cardiac injury – cardiac tamponade – rib fracture
Sources
1. Albers, J., Boese, J. M., et al. In vivo validation of cardiac spiral computed tomography using retrospective gating. Ann. Thorac. Surg., 2003, 75(3): 885–889.
2. Bourguignon, N., Godier, S., et al. [Heart injury following closed thoracic injury]. Ann. Fr. Anesth. Reanim, 1996, 15(7): 1088–1089.
3. Brathwaite, C. E., Rodriguez, A., et al. Blunt traumatic cardiac rupture. A 5-year experience. Ann. Surg., 1990, 212(6): 701–704.
4. Calhoon, J. H., Grover, F. L., et al. Chest trauma. Approach and management. Clin. Chest Med., 1992, 13(1): 55–67.
5. Galvin, I. F., Costa, R., et al. Fractured rib with penetrating cardiopulmonary injury. Ann. Thorac. Surg., 1993, 56(3): 558–559.
6. Glock, Y., Massabuau, P., et al. Cardiac damage in nonpenetrating chest injuries. Report of 5 cases. J. Cardiovasc. Surg. (Torino), 1989, 30(1): 27–33.
7. Hájek, R., Hude, P., Horký, P. Tupé trauma hrudníku – diagnostická a léčebná úskalí. In: Hájek, R., Hude, P., Horký, P., Řehořková, D.: Intenzivní péče v traumatologii. 1. vyd., Praha, Galén, 2001 : 82–86.
8. Harada, M., Osawa, M., et al. Isolated mitral valve injury from non-penetrating cardiac trauma. Report of a case with successful repair. J. Cardiovasc. Surg. (Torino), 1977, 18(5): 459–464.
9. Karalis, D. G., Victor, M. F., et al. The role of echocardiography in blunt chest trauma: a transthoracic and transesophageal echocardiographic study. J. Trauma, 1994, 36(1): 53–58.
10. Kaul, P., Somsekhar, G., et al. Secondary left ventricular injury with haemopericardium caused by a rib fracture after blunt chest trauma. J. Cardiothorac. Surg., 2006, 1 : 8.
11. Maňák, P., Drač, P., Blahut, L. Nepenetrující poranění hrudníku. Rozhl. Chir., 2001, 80 : 5.
12. Markl, M., Kliner, P. J., Ebbers, T. Comprehensive 4D velocity mapping of the heart and great vessels by cardiovascular magnetic resonance. J. of Cardiovascular Magnetic Resonance, 2011, 13 : 7.
13. Patetsios, P., Priovolos, S., et al. Lacerations of the left ventricle from rib fractures after blunt trauma. J. Trauma, 2000, 49(4): 771–773.
14. Perchinsky, M. J., Long, W. B., et al. Blunt cardiac rupture. The Emanuel Trauma Center experience. Arch. Surg., 1995, 130(8): 852–856; discussion 856–857.
15. Roth, T., Kipfer, B., et al. Delayed heart perforation after blunt trauma. Eur. J. Cardiothorac. Surg., 2002, 21(1): 121–123.
16. Saeed, M., Hetts, S., Wilson, M. Repefusion injury components and manifestations determined by cardiovascular MR and MDCT imaging. World J. Radiol., 2010, 2(1): 1–14.
17. Sareli, P., Goldman, A. P., et al. Coronary artery-right ventricular fistula and organic tricuspid regurgitation due to blunt chest trauma. Am. J. Cardiol., 1984, 54(6): 697 –
18. Suszko, B. (). [Heart injury caused by a rib fragment]. Pol. Tyg. Lek., 1968, 23(16): 595.
19. Šmejkal, K., Pařízková, R., et al. Traumatická ruptura mezikomorového septa jako následek tupého poranění hrudníku – kazuistika. Rozhl. Chir., 2008, 2 : 76–79.
20. Treede, H., Becker, C., et al. Multidetector computed tomography (MDCT) in coronary surgery: first experiences with a new tool for diagnosis of coronary artery disease. Ann. Thorac. Surg., 2002, 74(4): S1398–S1402.
21. Vodička, J., Špidlen, V., et al. Penetrující poranění hrudníku – sedmileté zkušenosti s diagnostikou a léčbou. Rozhl. Chir., 2007, 3 : 120–125.
22. Wrightson, W. R., Conn, C. A., et al. Cardiac impalement from a rib after blunt trauma. A
Labels
Surgery Orthopaedics Trauma surgery
Article was published inPerspectives in Surgery
2011 Issue 11-
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