Delayed heart perforation after blunt trauma

Roth, Thierry ; Kipfer, Beat ; Takala, Jukka ; Schmid, Ralph A.

In: European Journal of Cardio-Thoracic Surgery, 2002, vol. 21, no. 1, p. 121-123

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    Summary
    A 33-year-old patient was hospitalized after a blunt chest trauma with a left flail chest. Six hours after admission to the intensive care unit the patient suddenly developed hypotension and tachycardia. His left chest tube drained 1.5 l of blood within minutes. Immediate resuscitation and emergency sternotomy with left anterolateral extension was performed for pericardial tamponade secondary to left ventricular perforation due to a sharp rib fragment. Outcome was favourable and the patient was operated on for his flail chest by internal stabilization the next day