CASE REPORT
Left ventricular rupture as a consequence of blunt trauma – case report and literature review
1
Student Research Group, Department of Cardiac Surgery, Medical University, Lublin, Poland
2
Department of Cardiac Surgery, Medical University, Lublin, Poland
3
The Chair and Department of Cardiac Surgery, Medical University, Lublin, Poland
Corresponding author
Kamila Derlatka
Student Resarch Group/Department of Cardiac Surgery, Medical University of Lublin, Lublin, Poland
Student Resarch Group/Department of Cardiac Surgery, Medical University of Lublin, Lublin, Poland
KEYWORDS
TOPICS
ABSTRACT
Left ventricular rupture is a form of blunt cardiac trauma that is less common than right ventricular rupture due to the anatomical arrangement of the heart. This case report details the successful surgical treatment of a 63-year-old male patient who suffered a left ventricular apex rupture due to a traffic accident. Despite the low survival rate associated with this condition, the patient recovered well following sternotomy to suture the rupture and evacuate blood from the pericardial sac. In addition, the patient also had a splenic rupture that was managed by general surgeons performing splenectomy. Follow-up echocardiography showed a small amount of fluid in the pericardial sac, and the patient was discharged in good condition with advice to take sotalol for atrial fibrillation. This rare case highlights the importance of prompt diagnosis and immediate surgical intervention for left ventricular rupture in traffic accidents, as it can lead to favourable patient outcomes.
REFERENCES (21)
1.
Zerbo S, Spagnolo EV, Salerno S, et al. Cardiac rupture caused by trafficaccident: Case reports and a literature review. Med Leg J. 2018;86(3):152–156. https://doi.org/10.1177/002581....
2.
Singh Y, Arra A, Cawich SO, et al. A case report of blunt cardiac rupture. Int J Surg Case Rep. 2020;73:244–247. https://doi.org/10.1016/j.ijsc....
3.
Reddy NB, Hanumantha, Madithati P, et al. An epidemiological study on pattern of thoraco-abdominal injuries sustained in fatal road traffic accidents of Bangalore: Autopsy-based study. J Emerg Trauma Shock. 2014;7(2):116–20. https://doi.org/10.4103/0974-2....
4.
Gao JM, Li H, Wei GB, et al. Blunt Cardiac Injury: A Single-Center 15-Year Experience. Am Surg. 2020;86(4):354–361. https://doi.org/10.1177/000313....
5.
Baczewski K, Olszewski K, Czajkowski M, et al. Needle in a haystack: Needle wandering to the heart. Kardiol Pol. 2023;81(2):186–187. https://doi.org/10.33963/KP.a2....
6.
Whiteman S, Alimi Y, Carrasco M, et al. Anatomy of the cardiac chambers: A review of the left ventricle. Transl Res Anat. 2021;23:100095. https://doi.org/10.1016/j.tria....
7.
Pinni S, Kumar V, Dharap SB. Blunt Cardiac Rupture: A Diagnostic Challenge. J Clin Diagn Res. 2016;10(11):27–28. https://doi.org/10.7860/JCDR/2....
8.
Fedakar R, Türkmen N, Durak D, et al. Fatal traumatic heart wounds: review of 160 autopsy cases. Isr Med Assoc J. 2005;7(8):498–501. PMID: 16106774.
9.
Greene CL, Boyd JH. Successful Operative Repair of Delayed Left Ventricle Rupture From Blunt Trauma. Ann Thorac Surg. 2016;102(2):101–103. https://doi.org/10.1016/j.atho....
10.
Nakajima H, Uwabe K, Asakura T, et al. Emergent surgical repair of left ventricular rupture after blunt chest trauma. Ann Thorac Surg. 2014;98(2):35–36. https://doi.org/10.1016/j.atho....
11.
Figueiredo AM, Poggetti RS, Quintavalle FG, et al. Isolated right atrial appendage (RAA) rupture in blunt trauma – a case report and an anatomic study comparing RAA and right atrium (RA) wall thickness. World J Emerg Surg. 2007;2:1–4. https://doi.org/10.1186/1749-7....
12.
Telich-Tarriba JE, Anaya-Ayala JE, Reardon MJ. Surgical repair of right atrial wall rupture after blunt chest trauma. Tex Heart Inst J. 2012;39(4):579–581. PMID: 22949784.
13.
Lu LH, Choi WM, Wu HR, et al. Blunt cardiac rupture with prehospital pulseless electrical activity: a rare successful experience. J Trauma. 2005;59(6):1489–1491. https://doi.org/10.1097/01.ta.....
14.
Wu Y, Qamar SR, Murray N, et al. Imaging of Cardiac Trauma. Radiol Clin North Am. 2019;57(4):795–808. https://doi.org/10.1016/j.rcl.....
15.
Qamar SR, Wu Y, Nicolaou S, et al. State of the Art Imaging Review of Blunt and Penetrating Cardiac Trauma. Can Assoc Radiol J. 2020;71(3):301–312. https://doi.org/10.1177/084653....
16.
Kim DY, Ryu DS, Ahn JH, et al. Blunt Rupture of Left Ventricle Diagnosed Using Two Phase Contrast Enhanced CT: A Case Report. J Korean Soc Radiol. 2014;70(6):411–414. https://doi.org/10.3348/jksr.2....
17.
Harpula P, Jakubiec-Albert K, Przybylski A. Subepicardial aneurysm after blunt chest trauma: a life-saving complication? Kardiol Pol. 2020;78(2):161–162. https://doi.org/10.33963/KP.15....
18.
Yun JH, Byun JH, Kim SH, et al. Blunt Traumatic Cardiac Rupture: Single-Institution Experiences over 14 Years. Korean J Thorac Cardiovasc Surg. 2016;49(6):435–442. https://doi.org/10.5090/kjtcs.....
19.
Dou LW, Du Z, Zhu JH, et al. Changes and significance of serum troponin in trauma patients: A retrospective study in a level I trauma center. World J Emerg Med. 2022;13(1):27–31. https://doi.org/10.5847/wjem.j....
20.
Nair L, Winkle B, Senanayake E. Managing blunt cardiac injury. J Cardiothorac Surg. 2023;18(1):71. https://doi.org/10.1186/s13019....
21.
Janicic D, Simatovic M, Roljic Z, et al. Urgent Surgical Treatment of Blunt Chest Trauma Followed by Cardiac and Pericardial Injuries. Med Arch. 2020;74(2):115–118. https://doi.org/10.5455/medarh....
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.