Penetrating cardiac injury caused by multiple rib fractures following high‐energy trauma: Usefulness of the exploratory video‐assisted thoracoscopic surgery

Abstract Background Penetrating cardiac injuries are usually fatal and associated with poor survival rates. Case Presentation A 69‐year‐old man was injured in a motor vehicle accident and suffered from left hemothorax and multiple rib fractures near the heart. A comprehensive assessment raised suspi...

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Bibliographic Details
Main Authors: Keisuke Tetsumoto, Masakazu Takayama, Tadaaki Koyama, Hidenao Kayawake, Masao Saito, Ken Nakamura, Yutaka Takahashi, Hiroshi Hamakawa
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Acute Medicine & Surgery
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Online Access:https://doi.org/10.1002/ams2.938
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Summary:Abstract Background Penetrating cardiac injuries are usually fatal and associated with poor survival rates. Case Presentation A 69‐year‐old man was injured in a motor vehicle accident and suffered from left hemothorax and multiple rib fractures near the heart. A comprehensive assessment raised suspicions of lacerated pericardium and myocardial injury. Consequently, a thoracoscopy was performed 9 h after injury. A penetrating cardiac injury was detected and surgically treated via video‐assisted thoracoscopic surgery. The patient recovered uneventfully and was discharged on postoperative day 16. Conclusion Exploratory video‐assisted thoracoscopic surgery may play a key role in the primary diagnosis of patients with high‐energy chest traumas with cardiac injury and simultaneously allow for the appropriate surgical interventions.
ISSN:2052-8817