Delayed Cardiac Rupture due to Blunt Chest Trauma

Pollak, Stefan; Stellwag-Carion, C

doi:10.1097/00000433-199106000-00012

Cited by 24 publications

(9 citation statements)

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“…However, some have occurred with very localized bicycle handlebar or barbell end impacts. Two subjects had cardiac perforations due to 2.5 m and one story falls .Three of the 6 children with traumatic atrial intimal tears Cumberland reported resulted from blunt assaults . Atrial or great vessel tears also result from high inertia events due to discongugate motion of anchored and movable tissues .…”

Section: Discussionmentioning

confidence: 99%

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Cardiac Ventricular Laceration Due to Child Abuse: Abusive Ventricular Laceration

Yarid

Brown

Boos

et al. 2018

Journal of Forensic Sciences

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Traumatic cardiac ventricular ruptures in children are rare. Only a single case of left ventricular rupture due to child abuse has been reported. We report a child who sustained a fatal left ventricular apical rupture. It appeared to have resulted from hydrostatic forces resulting from abusive blunt thoracic injury. That he was being abused was previously missed when he was presented to the emergency department with facial pyoderma. It was not noted that he also had lip and oral mucosal injury, sites not affected by staph toxins. As a result, his underlying, abusive and secondarily infected, facial flow type scald burn was not appreciated. Within a week thereafter his fatal injury occurred, accompanied by extensive and obvious associated abusive injuries. Postmortem high-detail whole body computed tomography scanning aided the autopsy. Although rare, ventricular rupture from abusive blunt thoracic injury can occur.

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Section: Discussionmentioning

confidence: 99%

“…Others have reported mostly adult cardiac lacerations accompanying major thoracic trauma such as motor vehicle trauma , horse kicks , high height falls , or severe crushes or accidental impacts . However, some have occurred with very localized bicycle handlebar or barbell end impacts.…”

Section: Discussionmentioning

confidence: 99%

Cardiac Ventricular Laceration Due to Child Abuse: Abusive Ventricular Laceration

Yarid

Brown

Boos

et al. 2018

Journal of Forensic Sciences

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“…A second case, presenting three weeks (2) after blunt trauma, was believed to have developed secondary the commencement of an anticoagulant treatment. The remaining two cases (3,4) were at 2 weeks and eight days respectively.…”

Section: Discussionmentioning

confidence: 99%

A delayed presentation of cardiac tamponade after blunt trauma

Davey

Alam

Malik

2011

Journal of Surgical Case Reports

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“…2 The myocardial layer was absent in the ventricular wall area with fi brin deposits, which was thought to be in direct contact with the fractured rib edge for a period of more than 2 months. This fi nding indicates that myocardial degeneration occurred in a time-dependent manner.…”

Section: Case Reportmentioning

confidence: 99%

Delayed cardiac rupture occurring two months after blunt chest trauma

Ueda

Ito

Konnai³

et al. 2011

Gen Thorac Cardiovasc Surg

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We describe a rare case of successful repair of delayed cardiac rupture due to blunt chest trauma; the cardiac rupture occurred 74 days after the trauma. A 75-year-old woman with a history of blunt chest trauma that caused multiple rib fractures underwent an emergent thoracotomy due to left hemothorax. A coin-sized pericardial defect and cardiac rupture on the left ventricle was found to be close to a fractured rib, which was thought to have damaged the myocardium and thus induced time-dependent myocardial degeneration. The cardiac rupture and the pericardial defect did not induce life-threatening cardiac tamponade; however, the cardiac rupture did induce hemothorax, which could be successfully treated.

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Delayed Cardiac Rupture due to Blunt Chest Trauma

Cited by 24 publications

References 0 publications

Cardiac Ventricular Laceration Due to Child Abuse: Abusive Ventricular Laceration

Cardiac Ventricular Laceration Due to Child Abuse: Abusive Ventricular Laceration

A delayed presentation of cardiac tamponade after blunt trauma

Delayed cardiac rupture occurring two months after blunt chest trauma

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