• Eur J Cardiothorac Surg · Jan 2002

    Case Reports

    Delayed heart perforation after blunt trauma.

    • Thierry Roth, Beat Kipfer, Jukka Takala, and Ralph A Schmid.
    • Division of General Thoracic Surgery, University Hospital, 3010 Berne, Switzerland.
    • Eur J Cardiothorac Surg. 2002 Jan 1; 21 (1): 121-3.

    AbstractA 33-year-old patient was hospitalized after a blunt chest trauma with a left flail chest. Six hours after admission to the intensive care unit the patient suddenly developed hypotension and tachycardia. His left chest tube drained 1.5 l of blood within minutes. Immediate resuscitation and emergency sternotomy with left anterolateral extension was performed for pericardial tamponade secondary to left ventricular perforation due to a sharp rib fragment. Outcome was favourable and the patient was operated on for his flail chest by internal stabilization the next day.

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