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Journal of Trauma and Injury 2014;27(4):192-195.
Penetrating Injury to the Left Ventricle from a Fractured Rib Following Blunt Chest Trauma
Tak Hyuk Oh, Sang Cjeol Lee, Deok Heon Lee, Joon Yong Cho
Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, Kyungpook National University School of Medicine, Daegu, Republic of Korea. sfelee@hanmail.net
흉부 둔상으로 골절된 늑골로 인해 발생한 좌심실 천공
오탁혁, 이상철, 이덕헌, 조준용
경북대학교병원 흉부외과, 경북대학교 의학전문대학원 흉부외과학교실
Received: 11 June 2014   • Revised: 31 August 2014   • Accepted: 22 September 2014
Abstract
The perforation of a cardiac chamber by a fractured rib after blunt trauma is a rare event. Here, we report the case of patient who was referred for multiple rib fractures after a fall from a height. The patient was found to have a penetrating cardiac injury which was detected on a computed tomography chest scan. Computed tomography is a useful screening tool for victims of blunt chest trauma. Once cardiac perforation has been confirmed or is highly suspected, it is important to preserve the patient's vital signs until reaching the operating room by minimally manuplating the chest wall and permitting hypotension, which also prevents exsanguinating hemorrhage. For the same reasons, early cardiac tamponade may also improve the patient's survival.
Key Words: Trauma; Heart injury; Rib fracture
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