• Am J Emerg Med · May 2022

    Case Reports

    Perforation of the right cardiac ventricle as a late complication of a displaced sternal fracture following blunt trauma.

    • S Vanwynsberghe, E De Worm, and L Steverlynck.
    • Resident in Emergency Medicine, Delta hospital Roeselare-Menen-Torhout, Belgium. Electronic address: sybren.vanwynsberghe@ugent.be.
    • Am J Emerg Med. 2022 May 1; 55: 229.e1-229.e3.

    AbstractCardiac tamponade is a rare but possibly fatal complication of blunt thoracic trauma complicated by a sternal fracture. A delayed presentation of cardiac tamponade days or weeks after initial trauma has been described in a few cases. In these cases, the presumed mechanism of cardiac tamponade is pericardial irritation, caused by osseous fragments of the fractured sternum. This case describes a direct mechanical perforation of the right ventricle, caused by a displaced sternal fracture, presenting 5 days after initial trauma. To our knowledge, this mechanism of late cardiac tamponade has not been described in recent literature.Copyright © 2022 Elsevier Inc. All rights reserved.

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