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Blunt Coronary Injury Presenting as Massive Left-Sided Hemothorax

Departments of Surgery and Cardiovascular Sciences, The Brody School of Medicine, East Carolina University, Greenville, North Carolina, USA

Alan P Kypson, MD, Tel: +1 252 744 3570, Fax: +1 252 744 2687, Email: kypsona{at}ecu.edu, Department of Cardiovascular Sciences, The Brody School of Medicine, 600 Moye Boulevard, Greenville, NC 27834, USA.

Hemothorax after blunt trauma results from injury to intrathoracic structures or the chest wall. Tube thoracostomy is the most common mode of treatment; depending on the type of injury, it is frequently the only intervention required. Rarely, blunt cardiac injury can produce hemothorax if a communication exists between the pericardium and pleural space. We describe such a case that highlights the importance of a broad differential diagnosis when treating acutely injured patients.

Key Words: Hemothorax • Thoracic Cavity • Wounds and Injuries

Asian Cardiovasc Thorac Ann 2010; 18:71-73
© 2010 by SAGE Publications
DOI: 10.1177/0218492309354219