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Case Report

Right Ventricular Rupture and Active Contrast Extravasation on MDCT in a Trauma Patient: A Case Report

Bradford D Moore, Charles H Cockrell, Siddhi Shah and Yang Tang*
Department of Radiology, Virginia Commonwealth University Health System, Richmond, Virginia, 23298, USA
Corresponding Author : Yang Tang
Department of Radiology
Virginia Commonwealth University Health System
Richmond, Virginia, 23298, US
Tel: 804-828-8691
Fax: 804-628-1132
E-mail: ytang2@vcu.edu
Received February 18, 2013; Accepted November 18, 2013; Published November 22, 2013
Citation: Moore BD, Cockrell CH, Shah S, Tang Y (2013) Right Ventricular Rupture and Active Contrast Extravasation on MDCT in a Trauma Patient: A Case Report. OMICS J Radiology 3:153. doi: 10.4172/2167-7964.1000153
Copyright: © 2013 Moore BD, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Cardiac chamber rupture is very rare in traumapatients who reach the emergency department alive. Here, we report a case of cardiac injury after Motor Vehicle Crash (MVC), in which sternal fracture fragment was thought to penetrate the pericardium as well as the right ventricular free wall and result in eventual exsanguinations and death. The diagnosis of this case was confounded by patient’s vague symptoms and prior history of coronary disease. This case highlights the utility of using Multi Detector Computed Tomography (MDCT) in accurately diagnosing these rare but potentially fatal injuries.

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