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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

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.