[Left ventricular aneurysm after myocardial contusion caused by blunt chest trauma]

A 30-year old male car-driver was polytraumatized after a frontal collision with another motor vehicle (left-sided rib fractures, right-sided pneumothorax, multiple lung contusions, anterior and posterior pelvic ring fracture, femoral shaft fracture, traumatic subarachnoid hemorrhage. After intubation and hemodynamic stabilization on the scene of accident, he was transported to our institution. Transesophageal echocardiography revealed a left-ventricular anteroseptal akinesia and patchy intramyocardial hyperdensities as indicator of myocardial contusion which was confirmed later by autopsy. In the further course, the patient developed an anteroseptal aneurysm with severe left ventricular dysfunction nad episodes of arrhythmias. Finally, septic shock complicated the case and the patient died 30 days of intensive care from therapy-refractory multiple organ system failure.