Delayed cardiac tamponade following blunt chest trauma due to disruption of fourth costal cartilage with posterior dislocation

Trauma Case Reports

卷:29

L. Srinivasan¹  K. Mazhar²  L. Balacumaraswami³  A. Osman³  S. Mohamed³  A. Patel³ 

[1] Corresponding author at: Institute of Immunology and Immunotherapy, University of Birmingham, Edgbaston, Birmingham B15 2TT, United Kingdom.;

[2] Institute of Immunology and Immunotherapy, University of Birmingham, Vincent Drive, Edgbaston, Birmingham B15 2TT, United Kingdom;

[3] Department of Cardiothoracic Surgery, Royal Stoke University Hospital, Stoke On Trent, United Kingdom;

关键词: Cardiac tamponade;    Haemothorax;    Pneumothorax;    Thoracoscopy;    Costal cartilage;   

DOI  :  

来源: DOAJ

【 摘 要 】

Cardiac tamponade is a recognised sequelae of non-penetrating and penetrating chest trauma. Delayed cardiac tamponade has been described following blunt chest trauma. We present a 29 year-old gentleman who had initially presented to peripheral district general hospital following direct blunt chest wall trauma. His initial trauma CT demonstrated a small mediastinal haematoma and large left haemopneumothorax and disruption/dislocation of the costal cartilage. He initially underwent a thoracoscopic procedure uneventfully. He then had worsening chest radiograph appearances with enlarging cardiac contours. Transthoracic echocardiography confirmed cardiac tamponade. He underwent creation of a pericardial window and excision of the protruding fourth costal cartilage.

【 授权许可】

Unknown