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

Research output: Contribution to journalArticlepeer-review


  • S Mohamed
  • A Osman
  • K Mazhar
  • L Srinivasan
  • L Balacumaraswami

Colleges, School and Institutes

External organisations

  • Royal Stoke University Hospital


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
Early online date28 Jul 2020
Publication statusPublished - Oct 2020


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