+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Cardiac laceration following non-penetrating chest trauma in dog and cat



Cardiac laceration following non-penetrating chest trauma in dog and cat



Forensic Science International 290: E5-E8



Cardiac laceration with non-penetrating chest trauma is reported as a common cause of death in human following rapid deceleration in high-speed vehicular accident. In contrast, in veterinary medicine, traumatic rupture of heart and great-vessel structures appears to be an uncommon cause of death. Here we report three cases of cardiac laceration following non-penetrating chest trauma in a one cat and two dogs. In two of these cases, necropsy revealed a rupture of the heart associated with fractures of the ribs and lung contusion; only one case did not exhibit any external chest injury but revealed pericardial tear associated with hemothorax following rupture of the right auricle of the heart. However, in all three presented cases, the thoracic location of the injuries allowed to conclude that the cause of the cardiac rupture was due to a direct impact of the chest wall with a high speed object and consequent transmission of the kinetic force and compression of the heart between left and right thorax. These case reports underline the importance of a systematic and complete macroscopic evaluation of the heart in all cases of death following non-penetrating chest trauma in dog and cat such as in human. They also highlight how, in clinical and forensic practice, the cardiac injury following blunt chest trauma should be ruled out even in the cases of absence of external chest injury.

(PDF emailed within 0-6 h: $19.90)

Accession: 053025309

Download citation: RISBibTeXText

PMID: 30072043

DOI: 10.1016/j.forsciint.2018.07.016


Related references

Severe heart laceration in penetrating chest trauma: thoracoscopy as a key to diagnosis. Interactive Cardiovascular and Thoracic Surgery 2(3): 270-272, 2007

Penetrating laceration of the pericardium and myocardium and myocardial rupture following closed-chest cardiac massage. Acta Medica Scandinavica 194(5): 477-479, 1973

Cardiac tamponade by right atrial laceration due to blunt chest trauma in a 3-year-old child. Annales Francaises d'Anesthesie et de Reanimation 29(12): 916-919, 2011

FAST (focused assessment with sonography in trauma) accurate for cardiac and intraperitoneal injury in penetrating anterior chest trauma. Journal of Ultrasound in Medicine 23(4): 467-472, 2004

Cardiac arrhythmia by non-penetrating chest trauma. Revista Paulista de Medicina 45(1): 49-54, 1954

The late cardiac prognosis after non-penetrating chest trauma. Acta Medica Scandinavica 183(3): 243-244, 1968

Nonhemorrhagic cardiac tamponade after penetrating chest trauma. American Heart Journal 132(1 Pt 1): 197-198, 1996

Delayed cardiac tamponade in a patient with penetrating chest trauma. Journal Of Emergency Medicine. 15(1): 31-33, 1997

Penetrating cardiac injuries in blunt chest wall trauma. Journal of Forensic and Legal Medicine 19(6): 350-351, 2013

Delayed pericardial effusion and cardiac tamponade following penetrating chest trauma. Cjem 15(3): 186-189, 2014

Cardiac tamponade secondary to tension pneumopericardium from penetrating chest trauma. South African Medical Journal 100(3): 150, 2010

Chest compressions for a patient in cardiac arrest after penetrating trauma with a knife still in situ. Emergency Medicine Journal 24(8): 596-597, 2007

A case of right bundle-branch block without cardiac ischaemia following non-penetrating trauma to the chest. South African Medical Journal 42(6): 138-140, 1968

Diaphragmatic laceration after penetrating trauma: direct visualization and indirect findings on focused assessment with sonography for trauma in the emergency department. Journal of Ultrasound in Medicine 28(9): 1259-1263, 2009

Best Evidence Topic report. BET 3. Use of pericardiocentesis for patients with cardiac tamponade in penetrating chest trauma. Emergency Medicine Journal 26(2): 119-120, 2009