Cardiac Impalement from a Rib after Blunt Trauma

Wrightson, William R.; Conn, C. Adam; Franklin, Glen A.
May 2007
American Surgeon;May2007, Vol. 73 Issue 5, p465
Academic Journal
Blunt chest trauma produces a variety of injuries. We present a case report of a hemodynamically stable patient after blunt chest trauma with radiographic images suggestive of the left fifth rib penetration to the heart. The diagnosis, surgical approach, and course of the patient are discussed.


Related Articles

  • Blunt chest trauma: bony injury in the thorax. Zreik, Nasri H.; Francis, Irene; Ray, Arun; Rogers, Benedict A.; Ricketts, David M. // British Journal of Hospital Medicine (17508460);Feb2016, Vol. 77 Issue 2, p72 

    The article discusses clinical diagnosis and management of blunt chest trauma particularly rib fractures. Topics explored include incidents which tend to cause rib injuries such as road traffic accidents, the initial examination of the patient's respiratory rate and blood pressure to assess...

  • Non-invasive respiratory volume monitoring in patients with traumatic thoracic injuries. Galvagno, Samuel M; Brayanov, Jordan; Corneille, Michael G; Voscopoulos, Christopher J; Sordo, Salvador; Ladd, Diane; Freeman, Jenny // Trauma;Jul2015, Vol. 17 Issue 3, p219 

    The article presents a case study that monitor non-invasive respiratory volume in patients with traumatic thoracic injuries. Three intensive care unit patients with three or more rib fractures were monitor and it was found that respiratory volume monitor can generate unilateral respiratory tidal...

  • Traumatic subclavian arterial rupture: a case report and review of literature. Marco Assenza, Marco Assenza; Centonze, Leonardo; Valesini, Lorenzo; Campana, Gabriele; Corona, Mario; Modini, Claudio // World Journal of Emergency Surgery;2012, Vol. 7 Issue 1, p18 

    Subclavian artery injuries represent an uncommon complication of blunt chest trauma, this structure being protected by subclavius muscle, the clavicle, the first rib, and the deep cervical fascia as well as the costo-coracoid ligament, a clavi-coraco-axillary fascia portion. Subclavian artery...

  • Lateral Impact Validation of a Geometrically Accurate Full Body Finite Element Model for Blunt Injury Prediction. Vavalle, Nicholas; Moreno, Daniel; Rhyne, Ashley; Stitzel, Joel; Gayzik, F. // Annals of Biomedical Engineering;Mar2013, Vol. 41 Issue 3, p497 

    This study presents four validation cases of a mid-sized male (M50) full human body finite element model-two lateral sled tests at 6.7 m/s, one sled test at 8.9 m/s, and a lateral drop test. Model results were compared to transient force curves, peak force, chest compression, and number of...

  • Review of 9 Cases of Diaphragmatic Injury Following Blunt Trauma Chest; 3 Years Experience. Nain, Prabhdeep; Singh, Kuldip; Matta, Harish; Parmar, Abhijot; Gupta, Pankaj; Batta, Nishant // Indian Journal of Surgery;Aug2014, Vol. 76 Issue 4, p261 

    Diaphragmatic injuries can occur with both blunt and penetrating trauma which can be associated with herniation of abdominal viscera into the thoracic cavity. Diaphragmatic injuries can occur with blunt trauma chest in 1-7 % of patients. Retrospectively for last 3 years all cases blunt trauma...

  • Imaging issues in CT of blunt trauma to the chest and abdomen. Donnelly, Lane F. // Pediatric Radiology;Jun2009 Supplement 3, Vol. 39, pS406 

    The article discusses the issues related to the use of computed tomography (CT) in evaluating blunt chest and abdominal trauma in children. It is stated that the CT imaging does not affect the decision to perform surgery but its information affects patient management plans. It compares the...

  • Dissection of the left main coronary artery after blunt thoracic trauma: Case report and literature review. James, Mollie M.; Verhofste, Marnix; Franklin, Cass; Beilman, Greg; Goldman, Charles // World Journal of Emergency Surgery;2010, Vol. 5, p21 

    Blunt chest trauma is commonly encountered by surgeons and is rarely associated with cardiac injuries. The incidence of cardiac injury is rare but can be rapidly fatal, requiring prompt recognition and treatment. We review the case of a 37 year-old male who was involved in a head-on motor...

  • Traumatic Pulmonary Pseudocyst: A Rare but Noteworthy Entity. Zhi Zheng; Youmin Pan; Fengwei Guo; Tiecheng Pan; Jun Li // American Surgeon;Aug2011, Vol. 77 Issue 8, p1098 

    The article looks at several cases of traumatic pulmonary pseudocyst (TPP) in order to understand its clinical characteristics, diagnosis and treatment. It states that the underlying cause of TPPs in all these cases was nonpenetrating chest trauma due to traffic accident. It mentions that...

  • Post-traumatic Injury of the Brachiocephalic Artery: On-pump Beating Heart Repair. Boutayeb, Alaae; Porcu, Paolo; Pirvu, Augustin; Chavanon, Olivier // Heart, Lung & Circulation;Oct2014, Vol. 23 Issue 10, pe226 

    We report the case of 54 year-old man who presented with an injury of the brachiocephalic artery secondary to a violent blunt chest trauma. The patient underwent urgent open surgical repair. The procedure was achieved on on-pump beating heart approach. The subsequent course was uneventful.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics