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HOME > J Trauma Inj > Volume 27(4); 2014 > Article
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
Journal of Trauma and Injury 2014;27(4):192-195
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Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, Kyungpook National University School of Medicine, Daegu, Republic of Korea.
Received: 11 June 2014   • Revised: 31 August 2014   • Accepted: 22 September 2014

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.

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