title: Left-sided diaphragmatic and pericardial ruptures with subluxation of the heart after blunt trauma.
abstract: We present a rare case of individual but simultaneous rupture of the left pericardium and diaphragm in a patient with multiple blunt trauma. Skeletal trauma was repaired uneventfully with internal plate fixation. Diaphragmatic rupture was suspected and diagnosed 13 days from the initial trauma when the patient exhibited chest pain, dyspnea, and nausea. Intraoperatively, a pericardial rupture was discovered along with subluxation of the heart and repaired with a mesh.
authors.affiliation: Department of Cardiothoracic Surgery, Turku University Hospital, Turku, Finland. jarmo.gunn@tyks.fi
authors.forename: Jarmo M
authors.initials: JM
authors.lastname: Gunn
authors.forename: Jukka
authors.initials: J
authors.lastname: Savola
authors.forename: Kari
authors.initials: K
authors.lastname: Isotalo
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods*; D003964:Diaphragm / Q000293:injuries*; D005500:Follow-Up Studies; D006549:Hernia, Diaphragmatic, Traumatic / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010496:Pericardium / Q000293:injuries*; D012421:Rupture; D013898:Thoracic Injuries / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000175:diagnosis / Q000601:surgery