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Traumatic cardiac rupture with cerebral herniation: A case report
Yi Zhu1, Xinhe Huang2, Zheng Zhu1
1Department of Cardiothoracic Surgery, Hangzhou TCM Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, China.
Medicine
|January 21, 2026
Summary
This case report details a rare instance of traumatic cardiac rupture and cerebral herniation. Prompt surgical intervention, including thoracotomy and craniectomy, was crucial for patient survival.
Area of Science:
- Trauma Surgery
- Neurosurgery
- Cardiovascular Surgery
Background:
- Traumatic cardiac rupture and cerebral herniation are critical emergencies with high mortality.
- Concurrent presentation of these conditions is exceptionally rare.
- Multidisciplinary intervention and early diagnosis are vital for survival.
Purpose of the Study:
- To report a unique case of simultaneous traumatic cardiac rupture and cerebral herniation.
- To highlight the importance of damage-control surgery in managing complex trauma.
- To emphasize the necessity of staged surgical interventions in critical emergencies.
Main Methods:
- A 45-year-old female presented with hemorrhagic shock and coma post-traffic accident.
- Imaging revealed left hemothorax, rib fractures, and right subdural hematoma with midline shift.
- Damage-control surgery involved emergency thoracotomy for cardiac repair and decompressive craniectomy.
Main Results:
- The patient survived and was discharged on postoperative day 54.
- Follow-up echocardiography showed no delayed cardiac complications.
- Successful management of concurrent life-threatening injuries was achieved.
Conclusions:
- The rare concurrence of traumatic cardiac rupture and cerebral herniation requires staged surgical approaches.
- Adherence to damage-control principles and multidisciplinary coordination are key to survival.
- This case underscores the importance of rapid recognition and intervention in severe polytrauma.
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