Breaking Boundaries: From Fall to Rapid Cardiac Rescue

Author:

D’Alonzo Michele1ORCID,Piscitelli Mariantonietta1,Cilia Francesco2

Affiliation:

1. Department of Cardiac Surgery, Hôpitaux Universitaires Henri Mondor, Assistance Publique-Hôpitaux de Paris, 94000 Creteil, France

2. Department of Perioperative Cardiology and Cardiovascular Imaging, Centro Cardiologico Monzino IRCCS, 20138 Milan, Italy

Abstract

The occurrence of pericardial rupture as a complication of blunt thoracic trauma has the potential to result in cardiac dislocation unless promptly identified and subjected to suitable surgical intervention. This phenomenon is exceptionally uncommon and is associated with a significant mortality rate between 30 and 67%. The diagnosis remains complex due to the scarcity of symptoms. However, the routine application of computed tomography (CT) scans in the management of trauma patients could facilitate the early identification of cardiac dislocation. In this case report, we described the diagnostic–therapeutic pathway of a pericardial rupture due to high-intensity trauma.

Publisher

MDPI AG

Reference6 articles.

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2. Traumatic rupture of the pericardium;Clark;Surgery,1983

3. Traumatic cardiac dislocation-A case report and review of the literature including a new classification system;Graef;J. Trauma Acute Care Surg.,2019

4. Blunt Cardiac Trauma Caused by Fatal Falls From Height: An Autopsy-Based Assessment of the Injury Pattern;Tsokos;J. Trauma Inj. Infect. Crit. Care,2004

5. Traumatic rupture of the pericardium with left intrapleural luxation of the heart in a patient with multiple trauma;Raffy;Ann. Chir.,1993

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