Pericardial rupture with cardiac herniation following blunt thoracic trauma

Figures

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  Chest CTA shows major blunt force trauma to the chest after a high-speed MVC.

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  Figure 1. Chest computed tomography angiogram of a 24-year-old male patient who experienced major blunt force trauma to the chest following a high-speed motor vehicle collision. It demonstrates a flail chest (red arrow), narrowed pulmonary veins (blue arrow), cardiac torsion (blue cross), and pulmonary artery torsion (blue star) around the ascending aorta.

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  Video 1. Intraoperative video of a 24-year-old male patient following a high-speed motor vehicle collision. The patient sustained a right-sided pleuropericardial rupture with cardiac herniation into the right chest. The heart is visualized contracting in the right chest. The silk suture is retracting the pericardial defect. Video available at: https://www.jtcvs.org/article/S2666-2507(20)30386-2/fulltext.

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  Figure 2. Intraoperative picture of a 24-year-old male patient following a motor vehicle collision. The patient sustained a right-sided pleuropericardial rupture (yellow arrow) with cardiac herniation into the right chest (blue arrow). The silk suture is retracting the pericardial defect. The left lung (blue star) can be seen in the left chest. The patient's head is toward the top of the picture.

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  Figure 3. Intraoperative picture of a 24-year-old male patient following a motor vehicle collision with mesh prosthesis repair of his right-sided pleuropericardial rupture (blue arrow). The left lung (blue star) can be seen in the left chest.