Pectus excavatum in blunt chest trauma: a case report
نویسندگان
چکیده
UNLABELLED 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.
منابع مشابه
First Iranian Experience of the Minimally Invasive Nuss Procedure for Pectus Excavatum Repair: A Case Series and Literature Review
Pectus excavatum is the most common congenital deformity of the chest wall. The most frequently used techniques include Ravitch (costochondral resection) and Nuss (minimally invasive pectus repair of pectus excavatum [MIRPE]). The Nuss technique includes using temporary metallic bars without costochondral resection to correct the chest wall deformity. Modified MIRPE can be learned easily and pe...
متن کاملObjective effect manifestation of pectus excavatum on load-stressed pulmonary function testing: a case report
INTRODUCTION Pectus excavatum is the most common congenital deformity of the anterior chest wall that, under certain conditions, may pose functional problems due to cardiopulmonary compromise and exercise intolerance. CASE PRESENTATION We present the case of an otherwise physically-adept 21-year-old Chinese sportsman with idiopathic pectus excavatum, whose symptoms manifested only on bearing ...
متن کاملSevere pectus excavatum associated with cor pulmonale and chronic respiratory acidosis in a young woman.
Pectus excavatum has never been reported to cause hypercapnic respiratory failure. In this report, we describe the first such case in a young woman with severe pectus excavatum who presented with chronic respiratory acidosis, pulmonary hypertension, and chronic cor pulmonale. An extensive diagnostic workup failed to uncover any other cause of respiratory acidosis, which led us to conclude that ...
متن کاملPectus excavatum and chest pain: a case report
BACKGROUND Simultaneous repair of pectus deformities and open heart surgery has been reported. CASE PRESENTATION We describe a case of a 23 year old male with a severe pectus deformity complaining of chest pain. Subsequent work up revealed a 10 cm. ascending aortic aneurysm and severe aortic insufficiency. We opted to repair the aneurysm and close the sternotomy, leaving the deformity intact....
متن کاملCASE REPORT A Double Thoracodorsal Artery Perforator Flap Technique for the Treatment of Pectus Excavatum
BACKGROUND Pectus excavatum is a common congenital deformity involving the anterior thoracic wall. It can be treated with several surgical approaches. MATERIAL AND METHODS To our best of knowledge, this is the first case of pectus excavatum repair via a 2-stage double thoracodorsal artery perforator flap procedure in a 37-year-old patient. RESULTS We obtained a satisfactory result in which ...
متن کامل