Extra-Pericardial Tamponade due to Internal Thoracic Artery Rupture after Blunt Trauma: A Case Report
Cardiac tamponade is an acute life-threatening condition that predominantly involves the intra-pericardial space; however, an expanding mediastinal hematoma can also sometimes cause cardiac tamponade. Here we describe the case of a 45-year-old male driver in whom a traffic accident resulted in ruptu...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2021-09-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2021-0045.pdf |
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| author | Dongsub Noh Sung Wook Chang Dae Sung Ma |
| author_facet | Dongsub Noh Sung Wook Chang Dae Sung Ma |
| author_sort | Dongsub Noh |
| collection | DOAJ |
| description | Cardiac tamponade is an acute life-threatening condition that predominantly involves the intra-pericardial space; however, an expanding mediastinal hematoma can also sometimes cause cardiac tamponade. Here we describe the case of a 45-year-old male driver in whom a traffic accident resulted in rupture of the left internal thoracic artery (ITA), extra-pericardial hematoma, and sternal fracture. After resuscitation, he was scheduled to undergo angio-embolization to repair the ruptured left ITA, but he suddenly developed cardiac tamponade that required a decompressive sternotomy. Nevertheless, the patient had an uncomplicated recovery, and this case suggests that extra-pericardial cardiac tamponade should be considered as a possible consequence of retro-sternal hematoma due to traumatic ITA rupture. |
| format | Article |
| id | doaj-art-8a42a34247e84957880cb07e33bbb2a3 |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2021-09-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-8a42a34247e84957880cb07e33bbb2a32025-01-16T02:21:32ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832021-09-0134318318610.20408/jti.2021.00451089Extra-Pericardial Tamponade due to Internal Thoracic Artery Rupture after Blunt Trauma: A Case ReportDongsub Noh0Sung Wook Chang1Dae Sung Ma2 Trauma Center, Department of Thoracic and Cardiovascular Surgery, Dankook University Hospital, Cheonan, Korea Trauma Center, Department of Thoracic and Cardiovascular Surgery, Dankook University Hospital, Cheonan, Korea Trauma Center, Department of Thoracic and Cardiovascular Surgery, Dankook University Hospital, Cheonan, KoreaCardiac tamponade is an acute life-threatening condition that predominantly involves the intra-pericardial space; however, an expanding mediastinal hematoma can also sometimes cause cardiac tamponade. Here we describe the case of a 45-year-old male driver in whom a traffic accident resulted in rupture of the left internal thoracic artery (ITA), extra-pericardial hematoma, and sternal fracture. After resuscitation, he was scheduled to undergo angio-embolization to repair the ruptured left ITA, but he suddenly developed cardiac tamponade that required a decompressive sternotomy. Nevertheless, the patient had an uncomplicated recovery, and this case suggests that extra-pericardial cardiac tamponade should be considered as a possible consequence of retro-sternal hematoma due to traumatic ITA rupture.http://jtraumainj.org/upload/pdf/jti-2021-0045.pdfblunt injuryinternal thoracic arteriescardiac tamponade |
| spellingShingle | Dongsub Noh Sung Wook Chang Dae Sung Ma Extra-Pericardial Tamponade due to Internal Thoracic Artery Rupture after Blunt Trauma: A Case Report Journal of Trauma and Injury blunt injury internal thoracic arteries cardiac tamponade |
| title | Extra-Pericardial Tamponade due to Internal Thoracic Artery Rupture after Blunt Trauma: A Case Report |
| title_full | Extra-Pericardial Tamponade due to Internal Thoracic Artery Rupture after Blunt Trauma: A Case Report |
| title_fullStr | Extra-Pericardial Tamponade due to Internal Thoracic Artery Rupture after Blunt Trauma: A Case Report |
| title_full_unstemmed | Extra-Pericardial Tamponade due to Internal Thoracic Artery Rupture after Blunt Trauma: A Case Report |
| title_short | Extra-Pericardial Tamponade due to Internal Thoracic Artery Rupture after Blunt Trauma: A Case Report |
| title_sort | extra pericardial tamponade due to internal thoracic artery rupture after blunt trauma a case report |
| topic | blunt injury internal thoracic arteries cardiac tamponade |
| url | http://jtraumainj.org/upload/pdf/jti-2021-0045.pdf |
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