Trauma Case Reports | 卷:29 |
Delayed cardiac tamponade following blunt chest trauma due to disruption of fourth costal cartilage with posterior dislocation | |
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