Delayed cardiac tamponade following blunt chest trauma due to disruption of fourth costal cartilage with posterior dislocation

S Mohamed, A Osman, A Patel, K Mazhar, L Srinivasan, L Balacumaraswami

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Abstract

Cardiac tamponade is a recognised sequelae of non-penetrating and penetrating chest trauma. Delayed cardiac tamponade has been described following blunt chest trauma. We present a 29 year-old gentleman who had initially presented to peripheral district general hospital following direct blunt chest wall trauma. His initial trauma CT demonstrated a small mediastinal haematoma and large left haemopneumothorax and disruption/dislocation of the costal cartilage. He initially underwent a thoracoscopic procedure uneventfully. He then had worsening chest radiograph appearances with enlarging cardiac contours. Transthoracic echocardiography confirmed cardiac tamponade. He underwent creation of a pericardial window and excision of the protruding fourth costal cartilage.

Original languageEnglish
Article number100340
JournalTrauma Case Reports
Volume29
Early online date28 Jul 2020
DOIs
Publication statusPublished - Oct 2020

Keywords

  • Cardiac tamponade
  • Haemothorax
  • Pneumothorax
  • Thoracoscopy
  • Costal cartilage

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