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Published in: BMC Surgery 1/2017

Open Access 01-12-2017 | Case report

Cardiac tamponade associated with delayed ascending aortic perforation after blunt chest trauma: a case report

Authors: Dae Woong Ryu, Mi Kyung Lee

Published in: BMC Surgery | Issue 1/2017

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Abstract

Background

Cardiac tamponade due to aortic injury after blunt trauma is a rare and potentially fatal injury. Most aortic injuries caused by blunt trauma present as aortic dissection or rupture of the aortic isthmus. Several cases of delayed aortic injury have been reported. However, all of these injuries were observed in the descending aorta because they had been caused by a posterior rib fracture.

Case presentation

We report the first case of cardiac tamponade associated with delayed ascending aortic perforation 2 weeks after blunt trauma. The patient was an 81-year-old man.

Conclusion

In cases of blunt chest trauma, delayed ascending aortic injury causing cardiac tamponade is possible associated with various causes such as direct injury by fractured rib or delayed aortic perforation of initial blunt injury.
Literature
2.
go back to reference Richens D, Field M, Neale M, Oakley C. The mechanism of injury in blunt traumatic rupture of the aorta. Eur J Cardiothorac Surg. 2002;21:288–93.CrossRefPubMed Richens D, Field M, Neale M, Oakley C. The mechanism of injury in blunt traumatic rupture of the aorta. Eur J Cardiothorac Surg. 2002;21:288–93.CrossRefPubMed
3.
go back to reference Leavitt BJ, Meyer JA, Morton JR, Clark DE, Herbert WE, Hiebert CA. Survival following nonpenetrating traumatic rupture of cardiac chambers. Ann Thorac Surg. 1987;44:532–5.CrossRefPubMed Leavitt BJ, Meyer JA, Morton JR, Clark DE, Herbert WE, Hiebert CA. Survival following nonpenetrating traumatic rupture of cardiac chambers. Ann Thorac Surg. 1987;44:532–5.CrossRefPubMed
4.
go back to reference O'Conor CE. Diagnosing traumatic rupture of the thoracic aorta in the emergency department. Emerg Med J. 2004;21:414–9.PubMedPubMedCentral O'Conor CE. Diagnosing traumatic rupture of the thoracic aorta in the emergency department. Emerg Med J. 2004;21:414–9.PubMedPubMedCentral
5.
go back to reference Boyles AD, Taylor BC, Ferrel JR. Posterior rib fractures as a cause of delayed aortic injury: a case series and literature review. Inj Extra. 2013;44:43–5.CrossRef Boyles AD, Taylor BC, Ferrel JR. Posterior rib fractures as a cause of delayed aortic injury: a case series and literature review. Inj Extra. 2013;44:43–5.CrossRef
6.
go back to reference Morimoto Y, Sugimoto T, Sakahira H, Matsuoka H, Yoshioka Y, Arase H. Successful management of threatened aortic rupture late after rib fracture caused by blunt chest trauma. Ann Vasc Surg. 2014;28:1035e11–3.CrossRef Morimoto Y, Sugimoto T, Sakahira H, Matsuoka H, Yoshioka Y, Arase H. Successful management of threatened aortic rupture late after rib fracture caused by blunt chest trauma. Ann Vasc Surg. 2014;28:1035e11–3.CrossRef
8.
go back to reference Kigawa I, Fukuda I, Fujii Y, Yamabuki K. A sharp edge of the fractured ribs caused the aortic injury at body-position change: a case report. Nihon Kyobu Geka Gakkai Zasshi. 1992;40:1116–20.PubMed Kigawa I, Fukuda I, Fujii Y, Yamabuki K. A sharp edge of the fractured ribs caused the aortic injury at body-position change: a case report. Nihon Kyobu Geka Gakkai Zasshi. 1992;40:1116–20.PubMed
9.
go back to reference Funaki S, Inoue M, Minami M, Okumura M. Video-assisted thoracoscopic resection of fractured ribs to prevent descending aorta injury in patient with chest trauma. Ann Thorac Cardiovasc Surg. 2014;20:173–4.CrossRefPubMed Funaki S, Inoue M, Minami M, Okumura M. Video-assisted thoracoscopic resection of fractured ribs to prevent descending aorta injury in patient with chest trauma. Ann Thorac Cardiovasc Surg. 2014;20:173–4.CrossRefPubMed
Metadata
Title
Cardiac tamponade associated with delayed ascending aortic perforation after blunt chest trauma: a case report
Authors
Dae Woong Ryu
Mi Kyung Lee
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Surgery / Issue 1/2017
Electronic ISSN: 1471-2482
DOI
https://doi.org/10.1186/s12893-017-0266-2

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