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Related Experiment Videos

Concrete induced cardiac contusion

N Curzen1, S Brett, K Fox

  • 1Department of Cardiology, Royal Brompton Hospital, London, UK.

Heart (British Cardiac Society)
|December 10, 1997
PubMed
Summary

A car accident caused severe chest trauma, leading to cardiac contusion and a myocardial injury. The patient recovered well with medical treatment, showing improved heart function and resolution of the intracardiac mass.

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Area of Science:

  • Cardiology
  • Trauma Medicine
  • Diagnostic Imaging

Background:

  • Non-penetrating chest trauma can cause significant cardiac injury.
  • Cardiac contusion is a recognized complication of blunt chest trauma.

Observation:

  • A 22-year-old male sustained chest trauma from a concrete block impact.
  • Initial ECG showed right bundle branch block and left axis deviation.
  • Echocardiography revealed septal and apical hypokinesis with a mobile intracardiac mass.

Findings:

  • The patient developed acute respiratory distress and elevated creatine kinase levels.
  • Thallium scanning showed perfusion defects, but coronary angiography was normal.
  • The intracardiac mass, with echogenic texture of myocardium, resolved over time.

Implications:

  • This case highlights the varied presentations of cardiac contusion.
  • Myocardial avulsion can occur with severe non-penetrating chest trauma.
  • Prompt diagnosis and management are crucial for favorable outcomes in cardiac trauma.

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