marmara med j Marmara Medical Journal 1019-1941 1309-9469 Marmara University MANAGEMENT OF CARDIAC PENETRATING INJURIES: A PROPOS OF A CASE Ak Koray Özyurtkan Oğuzhan Akgün Serdar Yıldızeli Bedrettin Yüksel Mustafa 12 03 2016 15 4 264 266 03 09 2016 Copyright © 1988, Marmara Medical Journal 1988 Marmara Medical Journal

A 24 year old policeman presented with massive subcutaneous emphysema on the left side of the thorax with severe dyspnea after a motor vehicle accident. There were no clinical and radiographic signs of cardiac injury before the operation except the pneumediastinum. An incomplete laceration of the left ventricle and combined lung injury due to broken ribs were succesfully repaired. The rib fractures and pneumomediastinum may be considered as an alert sign for the possibility of concomitant cardiac injury after blunt thoracic trauma.

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