Pectus excavatum in blunt chest trauma: a case report

Journal of Medical Case Reports

Michael Jagodzinski²  Christian Krettek²  Maximilian Petri²  Nael Hawi²  Hrayr G Basmajian³  Eirini Liodaki¹  Emmanouil Liodakis² 

[1] Department of Plastic Surgery, University Clinic of Schleswig-Holstein, Campus Lübeck, Germany;Trauma Department, Hannover Medical School, Carl-Neuberg-Str 1, Hannover, 30625, Germany;Department of Orthopaedic Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA

关键词: Seatbelt injury;    Pectus excavatum;    Blunt cardiac rupture;   

Others  :  1195125
DOI  :  10.1186/1752-1947-7-22

 received in 2012-05-28, accepted in 2012-12-04,  发布年份 2013

【 摘 要 】

Introduction

Blunt cardiac rupture is an exceedingly rare injury.

Case presentation

We report a case of blunt cardiac trauma in a 43-year-old Caucasian German mother with pectus excavatum who presented after a car accident in which she had been sitting in the front seat holding her two-year-old boy in her arms. The mother was awake and alert during the initial two hours after the accident but then proceeded to hemodynamically collapse. The child did not sustain any severe injuries. Intraoperatively, a combined one-cm laceration of the left atrium and right ventricle was found.

Conclusion

Patients with pectus excavatum have an increased risk for cardiac rupture after blunt chest trauma because of compression between the sternum and spine. Therefore, patients with pectus excavatum and blunt chest trauma should be admitted to a Level I Trauma Center with a high degree of suspicion.

【 授权许可】

   
2013 Liodakis et al.; licensee BioMed Central Ltd.

【 图 表 】

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