Myocardial infarction (MI) secondary to coronary artery fistula and the subsequent occlusion of the distal right coronary artery (RCA) after blunt chest trauma is a rare entity. Here, we describe a case of coronary artery fistula and occlusion with an inferior MI that occurred following blunt chest trauma. At the initial visit to the emergency room after a car accident, this patient had been un...

A 26-year-old man suffered a severe impact in a car crash. Computed tomography showed an image suspicious for coronary injury (Fig. 1a). Coronary angiography (Fig. 1b, Supplementary Video 1) revealed a pseudoaneurysm of the first diagonal branch. Sealing was cancelled because of spontaneous healing (Fig. 1c, Supplementary Video 2). Pseudoaneurysm disappeared and coronary artery remained normal ...

Isolated traumatic rupture of the ventricular septum following blunt chest trauma is rare. We report the case of a patient who sustained blunt chest trauma in a motor vehicle collision. The isolated ventricular septal defect was not discovered by echocardiography until 12 days after accident. Perventricular closure of the defect was performed with occluder. The patient died from a complication ...

e s a d p w a o As previously described, bleeding into the pericardium after a blunt chest trauma can initiate a process of inflammation, calcification and scarring that can eventually result in constrictive pericarditis. We present the case of a 36-year-old man who was referred to our hospital from another institution for cardiac MRI study with echocardiographic suspicion of constrictive peric...

Systemic air embolism is known to rarely complicate blunt chest trauma. However, cerebral infarction caused by air emboli possibly originating from a traumatic pneumatocele has not been previously reported. We report a case of a 46-year-old woman who sustained blunt chest trauma with multiple rib and clavicular fractures, hemothorax and a huge, tense traumatic pneumatocele. She subsequently dev...

Cerebral air embolism (CAE) is a common, often lethal, complication in blunt and penetrating chest trauma. The factors affecting the outcome of CAE patients are poorly understood, and there is no generally accepted treatment algorithm. In this report, we present the case of a 28-year-old male motorcyclist with a massive CAE, including bilateral internal carotid artery air on computed tomographi...

Accepted for publication 15 May 1997 Blunt, non-penetrating trauma to the heart and great vessels occurs most commonly following road traffic accidents. Other causes include direct blows to the chest, falls from great heights, sporting and industrial injuries, and kicks by animals. The potential mechanisms by which blunt chest trauma can result in cardiac and aortic injury have been described a...

To the Editor, I read with interest the case reported in the Journal describing the events surrounding the death of a child from unilateral blunt chest trauma due to coronary and cerebral arterial gas embolism (AGE). The authors used high frequency oscillatory ventilation (HFOV) for oxygenation with a mean airway pressure of 18 cmH2O because the child’s hemoptysis raised concerns regarding airw...

We report a successful treatment result in a rare case of hepatitis C virus-related cirrhosis, who had sustained hydrothorax after blunt thoracoabdominal trauma. This was a female patient with liver cirrhosis, Child-Turcotte-Pugh class A, without ascites before injury. She sustained blunt thoracoabdominal trauma with a left clavicle fracture dislocation and right rib fractures. There was no hem...

Injuries to the azygos vein in a blunt chest trauma are uncommon and have previously been described in only 21 cases. The diagnosis is crucially based on massive right haemothorax with signs of shock, hypotension and altered mental status. The severity of the trauma, speed of transport and surgical intervention are often decisive for the survival of the patient. This is confirmed by the three c...