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Gen Thorac Cardiovasc Surg · Jan 2011
Case ReportsDelayed cardiac rupture occurring two months after blunt chest trauma.
- Shinsaku Ueda, Yasuhiro Ito, Toshiaki Konnai, Satoshi Suzuki, and Katsuhiko Isogami.
- Department of Thoracic Surgery, Ishinomaki Red Cross Hospital, 71 Hebita-Nishimichisita, Ishinomaki, Miyagi 986-8522, Japan. shiueda-ths@umin.ac.jp
- Gen Thorac Cardiovasc Surg. 2011 Jan 1;59(1):45-7.
AbstractWe describe a rare case of successful repair of delayed cardiac rupture due to blunt chest trauma; the cardiac rupture occurred 74 days after the trauma. A 75-year-old woman with a history of blunt chest trauma that caused multiple rib fractures underwent an emergent thoracotomy due to left hemothorax. A coin-sized pericardial defect and cardiac rupture on the left ventricle was found to be close to a fractured rib, which was thought to have damaged the myocardium and thus induced time-dependent myocardial degeneration. The cardiac rupture and the pericardial defect did not induce life-threatening cardiac tamponade; however, the cardiac rupture did induce hemothorax, which could be successfully treated.
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