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Related Experiment Videos

Cardiac injury complicating traumatic asphyxia.

R M Rosato1, M J Shapiro, M J Keegan

  • 1Department of Surgery, St. Louis University Medical Center, MO 63110-0250.

The Journal of Trauma
|October 1, 1991
PubMed
Summary

Traumatic asphyxia, a rare condition, can cause significant cardiac injury, including ventricular rupture. A comprehensive cardiac evaluation is crucial for patients with traumatic asphyxia.

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Area of Science:

  • Trauma Surgery
  • Cardiology
  • Emergency Medicine

Background:

  • Traumatic asphyxia is a rare clinical syndrome resulting from severe blunt force trauma to the chest.
  • Fewer than 200 cases have been reported globally, with limited documentation of associated cardiac injuries.

Observation:

  • A 3-year study at St. Louis University Medical Center identified 8 patients with traumatic asphyxia.
  • Common causes included motor vehicle collisions, elevator accidents, and industrial accidents involving heavy machinery.
  • Associated injuries encompassed pulmonary contusions, hemopneumothorax, and various fractures.

Findings:

  • 37.5% of patients (3 out of 8) exhibited cardiac injuries.
  • These included two cases of cardiac contusion and one case of ventricular rupture.

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  • One fatality occurred in a patient with a ruptured right ventricle and extensive abdominal injuries.

    • Implications:

    • This case series highlights the significant incidence of cardiac injury in traumatic asphyxia.
    • Complete cardiac assessment, including enzyme levels, ECG, and echocardiography, is essential for these patients.
    • Early recognition and management of cardiac complications can improve patient outcomes.