@article{ref1,
title="Penetrating cardiac injury caused by multiple rib fractures following high-energy trauma: usefulness of the exploratory video-assisted thoracoscopic surgery",
journal="Acute medicine and surgery",
year="2024",
author="Tetsumoto, Keisuke and Takayama, Masakazu and Koyama, Tadaaki and Kayawake, Hidenao and Saito, Masao and Nakamura, Ken and Takahashi, Yutaka and Hamakawa, Hiroshi",
volume="11",
number="1",
pages="e938-e938",
abstract="BACKGROUND: Penetrating cardiac injuries are usually fatal and associated with poor survival rates.   CASE PRESENTATION: A 69-year-old man was injured in a motor vehicle accident and suffered from left hemothorax and multiple rib fractures near the heart. A comprehensive assessment raised suspicions of lacerated pericardium and myocardial injury. Consequently, a thoracoscopy was performed 9 h after injury. A penetrating cardiac injury was detected and surgically treated via video-assisted thoracoscopic surgery. The patient recovered uneventfully and was discharged on postoperative day 16. <br><br>CONCLUSION: Exploratory video-assisted thoracoscopic surgery may play a key role in the primary diagnosis of patients with high-energy chest traumas with cardiac injury and simultaneously allow for the appropriate surgical interventions.<p /> <p>Language: en</p>",
language="en",
issn="2052-8817",
doi="10.1002/ams2.938",
url="http://dx.doi.org/10.1002/ams2.938"
}