Pectus excavatum in blunt chest trauma: a case report.
作者信息
Liodakis Emmanouil, Liodaki Eirini, Basmajian Hrayr G, Hawi Nael, Petri Maximilian, Krettek Christian, Jagodzinski Michael
机构信息
Trauma Department, Hannover Medical School, Carl-Neuberg-Str 1, Hannover, 30625, Germany.
出版信息
J Med Case Rep. 2013 Jan 15;7:22. doi: 10.1186/1752-1947-7-22.
INTRODUCTION
Blunt cardiac rupture is an exceedingly rare injury.
CASE PRESENTATION
We report a case of blunt cardiac trauma in a 43-year-old Caucasian German mother with pectus excavatum who presented after a car accident in which she had been sitting in the front seat holding her two-year-old boy in her arms. The mother was awake and alert during the initial two hours after the accident but then proceeded to hemodynamically collapse. The child did not sustain any severe injuries. Intraoperatively, a combined one-cm laceration of the left atrium and right ventricle was found.
CONCLUSION
Patients with pectus excavatum have an increased risk for cardiac rupture after blunt chest trauma because of compression between the sternum and spine. Therefore, patients with pectus excavatum and blunt chest trauma should be admitted to a Level I Trauma Center with a high degree of suspicion.
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