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Traumatic pericardial rupture with cardiac herniation.
Joerg Lindenmann1, Veronika Matzi, Nicole Neuboeck
1Division of Thoracic and Hyperbaric Surgery, Department of Surgery, Medical University of Graz, Graz, Austria. jo.lindenmann@medunigraz.at
The Annals of Thoracic Surgery
|May 25, 2010
Summary
Traumatic pericardial rupture with cardiac herniation can be fatal if missed. Prompt emergency intervention for this rare condition, even with subtle CT scan signs, leads to complete recovery in trauma patients.
Area of Science:
- Cardiology
- Thoracic Surgery
- Trauma Surgery
Background:
- Traumatic pericardial rupture is a rare but potentially fatal injury.
- Early diagnosis and surgical intervention are crucial for patient survival.
Observation:
- Two cases of multiple trauma patients with missed pericardial rupture are presented.
- Suggestive computed tomographic (CT) scan findings were overlooked preoperatively in both cases.
Findings:
- One patient presented with persistent hemodynamic instability; the other experienced cardiac arrest during surgery.
- Left-sided pericardial rupture with cardiac herniation into the pleural space was diagnosed and surgically corrected emergently in both patients.
Implications:
- This case series highlights the importance of recognizing subtle CT signs of pericardial rupture in trauma.
- Timely emergency surgical repair of traumatic pericardial rupture can lead to excellent patient outcomes.
- Increased awareness among clinicians may improve preoperative diagnosis and reduce mortality associated with this injury.
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