Right-sided luxation of the heart caused by blunt traumatic pericardial rupture
Cardiac luxation is a rare condition in cases of blunt thoracic trauma, yet it is quite fatal. We present a case of a 28-year-old man, admitted to the emergency room after a motorcycle accident in a hemodynamically unstable condition and radiographic presentation of multiple rib fractures, bilateral...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Pensoft Publishers
2023-04-01
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| Series: | Folia Medica |
| Subjects: | |
| Online Access: | https://foliamedica.bg/article/78431/download/pdf/ |
| _version_ | 1797832968815771648 |
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| author | Ivoslav Ivanov Dimo Mitev Rumen Filipov Plamen Parvanov |
| author_facet | Ivoslav Ivanov Dimo Mitev Rumen Filipov Plamen Parvanov |
| author_sort | Ivoslav Ivanov |
| collection | DOAJ |
| description | Cardiac luxation is a rare condition in cases of blunt thoracic trauma, yet it is quite fatal. We present a case of a 28-year-old man, admitted to the emergency room after a motorcycle accident in a hemodynamically unstable condition and radiographic presentation of multiple rib fractures, bilateral pneumothorax, pneumomediastinum, and significant dislocation of the heart to the right. After performing emergency bilateral tube thoracostomy and achieving hemodynamic stability, a CT scan was performed and the patient was diagnosed with pericardial rupture with right-sided luxation of the heart. An emergency sternotomy was performed with repositioning of the heart and pericardial reconstruction. In the postoperative period, suspicion of myocardial infarction was ruled out and the patient was discharged with persistent traumatic monoplegia of the left upper limb and Claude Bernard-Horner syndrome. An analysis of this very rare type of chest trauma has been made and the probable mechanism for its occurrence has been discussed. |
| first_indexed | 2024-04-09T14:16:13Z |
| format | Article |
| id | doaj.art-5980a87446434cbfadd8ad038b63ce44 |
| institution | Directory Open Access Journal |
| issn | 1314-2143 |
| language | English |
| last_indexed | 2024-04-09T14:16:13Z |
| publishDate | 2023-04-01 |
| publisher | Pensoft Publishers |
| record_format | Article |
| series | Folia Medica |
| spelling | doaj.art-5980a87446434cbfadd8ad038b63ce442023-05-05T08:11:09ZengPensoft PublishersFolia Medica1314-21432023-04-0165233133510.3897/folmed.65.e7843178431Right-sided luxation of the heart caused by blunt traumatic pericardial ruptureIvoslav Ivanov0Dimo Mitev1Rumen Filipov2Plamen Parvanov3Department of Surgery, NI Pirogov University Multiprofile Hospital for Active Treatment and Emergency MedicineDepartment of Surgery, NI Pirogov University Multiprofile Hospital for Active Treatment and Emergency MedicineDepartment of Surgery, NI Pirogov University Multiprofile Hospital for Active Treatment and Emergency MedicineDepartment of Cardiac Surgery, National Heart HospitalCardiac luxation is a rare condition in cases of blunt thoracic trauma, yet it is quite fatal. We present a case of a 28-year-old man, admitted to the emergency room after a motorcycle accident in a hemodynamically unstable condition and radiographic presentation of multiple rib fractures, bilateral pneumothorax, pneumomediastinum, and significant dislocation of the heart to the right. After performing emergency bilateral tube thoracostomy and achieving hemodynamic stability, a CT scan was performed and the patient was diagnosed with pericardial rupture with right-sided luxation of the heart. An emergency sternotomy was performed with repositioning of the heart and pericardial reconstruction. In the postoperative period, suspicion of myocardial infarction was ruled out and the patient was discharged with persistent traumatic monoplegia of the left upper limb and Claude Bernard-Horner syndrome. An analysis of this very rare type of chest trauma has been made and the probable mechanism for its occurrence has been discussed.https://foliamedica.bg/article/78431/download/pdf/blunt thoracic traumacardiac herniationheart l |
| spellingShingle | Ivoslav Ivanov Dimo Mitev Rumen Filipov Plamen Parvanov Right-sided luxation of the heart caused by blunt traumatic pericardial rupture Folia Medica blunt thoracic trauma cardiac herniation heart l |
| title | Right-sided luxation of the heart caused by blunt traumatic pericardial rupture |
| title_full | Right-sided luxation of the heart caused by blunt traumatic pericardial rupture |
| title_fullStr | Right-sided luxation of the heart caused by blunt traumatic pericardial rupture |
| title_full_unstemmed | Right-sided luxation of the heart caused by blunt traumatic pericardial rupture |
| title_short | Right-sided luxation of the heart caused by blunt traumatic pericardial rupture |
| title_sort | right sided luxation of the heart caused by blunt traumatic pericardial rupture |
| topic | blunt thoracic trauma cardiac herniation heart l |
| url | https://foliamedica.bg/article/78431/download/pdf/ |
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