Abstract

Case Report

Late discover of a traumatic cardiac injury: Case report

Benlafqih C, Bouhdadi H*, Bakkali A, Rhissassi J, Sayah R and Laaroussi M

Published: 19 August, 2019 | Volume 4 - Issue 2 | Pages: 100-102

Blunt chest trauma leads to a wide range of lesions, relatively minor parietal injuries to potentially fatal cardiac lesions, making diagnosis and management difficult. The diagnosis is currently facilitated by imaging, however, these lesions may go unnoticed and be discovered late through complications.

We report the case of a neglected heart wound revealed by a heart failure. This case is notable due to a favourable outcome despite a delay in diagnosis due to a lack of pericardial effusion and the absence of cardiac symptoms, and a long delay from injury to appropriate treatment in the presence of a penetrating cardiac wound deep enough to cause a muscular ventricular septal defect and lacerate the anterior mitral leaflet.

Read Full Article HTML DOI: 10.29328/journal.jccm.1001048 Cite this Article Read Full Article PDF

Keywords:

Cardiac injury; Traumatic mitral regurgitation; Ventricular septal defect

References

  1. Connelly TM, Kolcow W, Veerasingam D, DaCosta M. A severe penetrating cardiac injury in the absence of cardiac tamponade. Interact Cardiovasc Thorac Surg. 2017; 24: 286-287. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/27789730
  2. Kaljusto ML, Skaga NO, Pillgram-Larsen J, Tønnessen T. Survival predictor for penetrating cardiac injury; a 10-year consecutive cohort from a scandinavian trauma center. Scand J Trauma Resusc Emerg Med. 2015; 23. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/26032760
  3. Christie-Large M, Michaelides D, James S. Focused assessment with sonography for trauma: the FAST scan. Trauma. 2008; 10: 93-101.
  4. Leite L, Gonçalves L, Vieira DN. Cardiac injuries caused by trauma: Review and case reports. J Forensic Leg Med. 2017; 52: 30-34. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/28850860

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