Rupture of heart with all layers after a massive blunt thoracic trauma without any lesion on the bones: a case report

Abstract

Trafik kazası sonucu olay yerinde hayatını kaybeden yolcu, 18 yaşında, erkek, üniversite öğrencisidir. 01.10.2007 tarihinde yapılan otopsisinde kalbin atrio-ventriküler bölge-den yatay olarak tam kat yırtılmış ve kopmuş olduğu saptandı, iskelet sisteminde herhangi bir lezyon yoktu. Bu olgu kalpte tam kat yırtılmaya neden olabilecek derecede ağır bir travmaya maruz kalmasına rağmen hiçbir kemik lezyonu olmaması açısından nadir olgu olarak değerlendirildi.Anahtar Sözcükler: Künt göğüs travması; kalp laserasyonu.Our case is a male student which was dead because of traffic accident as passenger in October, 01, 2007. His heart was found to be lacerated and ruptured horizontally from atrioventricular region through all layer of the wall at autopsy. There were not any changes of skeletal system. Our case is considered as a rare and interesting case because there was no lesion on the bones, though the case was exposed to so massive trauma that cause rupture of heart from all layers.

Forensic-Pathological Analysis of Blunt Cardiac Rupture Involving the Relationship between Injury and Disease: 2 Cases Report and Review of the Literature

“…But it is not to say the degree of injury determine its participation of death. It is noted that cardiac rupture may be produced by the compression of the chest or/and by the increased intrathoracic pressure transmitted from a stroke to the chest, even without visible marks of external injury [15] [16]. Sometimes, the injury doesn't lead to death and only overlap the time of cardiac rupture, even if the sudden death occurs after suffering from blunt trauma [17].…”

Complete Cardiac Rupture Associated with Closed Chest Cardiac Massage: Case Report and Review of the Literature

“…There are few reports in literature about lethal or not heart rupture consequent to chest cardiac massage . The reported cases without any lesions on the chest bones are very rare, mainly caused by blunt thoracic trauma . In fact, such cardiac injury frequently occurs in traffic, sportive, and occupational accidents, even if a real rupture of heart is exceptional .…”

“…The reported cases without any lesions on the chest bones are very rare, mainly caused by blunt thoracic trauma . In fact, such cardiac injury frequently occurs in traffic, sportive, and occupational accidents, even if a real rupture of heart is exceptional . Baldwin and Edwards described two cases of rupture of the right ventricle following closed chest massage without fractures of ribs or sternum .…”