Coronary Artery Bypass Surgery in Undiagnosed Traumatic Pericardial Rupture—25 Years Later

Shah, Pallav; Buxton, Brian F.; Seevanayagam, Siven

doi:10.1016/j.hlc.2005.01.004

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2014

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“…Due to its difficulty in recognition, pericardial rupture should be considered in all cases of blunt force chest trauma as it is likely lethal if gone untreated. Even with the aid of modern computerized tomography, successful preoperative diagnosis of a pericardial rupture with or without cardiac herniation is very difficult and has only seldom been reported in the literature [ 5 , 7 , 8 ]. Once confirmed, however, surgical intervention can be executed effectively as is described in the instance of this case report.…”

Section: Discussionmentioning

confidence: 99%

Blunt Force Thoracic Trauma: A Case Study of Pericardial Rupture and Associated Cardiac Herniation

Glotzer

Bhakta

Fabian

2014

Case Reports in Surgery

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Pericardial rupture, with associated cardiac herniation, is generally fatal. Diagnosis is difficult and frequently missed due to the subtlety of identifying characteristics. We report a case of a left sided pericardial rupture and cardiac herniation resulting from a high speed motorcycle collision. This report describes the course of treatment from the emergent admission to the diagnosis of the pericardial tear to retrospective CT analysis and rupture identification. In addition the difficulties of initial diagnosis, key symptoms, and identification of CT images are presented and discussed.

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Section: Discussionmentioning

confidence: 99%