Forensic-Pathological Analysis of Blunt Cardiac Rupture Involving the Relationship between Injury and Disease: 2 Cases Report and Review of the Literature
Blunt cardiac rupture is a characteristic of high death rates and rapid death process. But sometimes it is hard to find out the cause of cardiac rupture of traumatized patients, especially when it relates the relationship between injury and disease. In the 2 cases reported herein, both of the 2 patients had pre-existent cardiac pathological changes when suffered from traumatic injury. Our aim is to evaluate autopsy findings from a medicolegal point of view, and offer our proposals on how to deal with this sort of cases.
References
[1]
Maron, B.J. and Estes III, N.A. (2010) Commotio Cordis. The New England Journal of Medicine, 362, 917-927.
http://dx.doi.org/10.1056/NEJMra0910111
[2]
Teixeira, P.G., Georgiou, C., Inaba, K., Dubose, J., Plurad, D., Chan, L.S., Toms, C., Noguchi, T.T. and Demetriades, D. (2009) Blunt Cardiac Trauma: Lessons Learned from the Medical Examiner. The Journal of Trauma, 67, 1259-1264.
http://dx.doi.org/10.1097/TA.0b013e318187a2d2
Teixeira, P.G., Inaba, K., Oncel, D., DuBose, J., Chan, L., Rhee, P., Salim, A., Browder, T., Brown, C. and Demetriades, D. (2009) Blunt Cardiac Rupture: A 5-Year NTDB Analysis. The Journal of Trauma, 67, 788-791.
http://dx.doi.org/10.1097/TA.0b013e3181825bd8
[5]
Turan, A.A., Karayel, F.A., Akyildiz, E., Pakis, I., Uzun, I., Gurpinar, K., Atilmis, U. and Kir, Z. (2010) Cardiac Injuries Caused by Blunt Trauma: An Autopsy Based Assessment of the Injury Pattern. Journal of Forensic Sciences, 55, 82-84. http://dx.doi.org/10.1111/j.1556-4029.2009.01207.x
[6]
Bintz, M., Gall, W.E. and Harbin, D. (1992) Blunt Myocardial Disruption: Report of an Unusual Case and Literature review. The Journal of Trauma, 33, 933-934. http://dx.doi.org/10.1097/00005373-199212000-00028
[7]
Parmley, L.F., Manion, W.C. and Mattingly, T.W. (1958) Nonpenetrating Traumatic Injury of the Heart. Circulation, 18, 371-396. http://dx.doi.org/10.1161/01.CIR.18.3.371
[8]
Brathwaite, C.E.M., Rodriguez, A., Turney, S.Z., Dunham, C.M. and Cowley, R.A. (1990) Blunt Traumatic Cardiac Rupture—A 5-Year Experience. Annals of Surgery, 212, 701-704.
http://dx.doi.org/10.1097/00000658-199012000-00008
[9]
Bright, E.F. and Beck, C.S. (1935) Nonpenetrating Wounds of the Heart—A Clinical and Experimental Study. American Heart Journal, 10, 293-321. http://dx.doi.org/10.1016/S0002-8703(35)90312-X
[10]
Grande, A.M., Rinaldi, M., Pasquino, S., Dore, R. and Vigano, M. (2003) Nonpenetrating Right Atrial and Pericardial Trauma. The Annals of Thoracic Surgery, 76, 923-925. http://dx.doi.org/10.1016/S0003-4975(03)00197-8
[11]
Lin, C.H., Chen, S.Y., Chang, W.T., Chen, S.C. and Chen, W.J. (2005) Cardiac Rupture after Minor Blunt Chest Injury as a Result of Occult Recent Myocardial Infarction. Resuscitation, 67, 149-150.
http://dx.doi.org/10.1016/j.resuscitation.2005.04.011
[12]
Lassus, J., Tulikoura, I., Konttinen, Y.T. and Santavirta, S. (2001) Myocardial Contusion as, a Cause of Delayed Cardiac Rupture. A Case Report. Injury, 32, 789-793. http://dx.doi.org/10.1016/S0020-1383(01)00105-X
[13]
Utter, G.H., Scherer, L.A. and Wisner, D.H. (2004) Blunt Cardiac Rupture in a Patient with Prior Ventricular Septal Defect Repair: A Case Report. The Journal of Trauma, 57, 635-637.
http://dx.doi.org/10.1097/01.TA.0000135351.39516.D6
[14]
Godinez-Valdez, V.H., Cazares-Campos, I., Aranda-Fraustro, A., Lopez-Jimenez, F., Cardenas, M. and Marquez, M.F. (2012) Cardiac Rupture in a Patient with an Acute Myocardial Infarction and Extensive Fatty Infiltration of the Heart (“Adipositas Cordis”). International Journal of Cardiology, 154, e62-e64.
http://dx.doi.org/10.1016/j.ijcard.2011.06.060
[15]
Birincioglu, I., Turan, N. and Can, M. (2011) Rupture of Heart with all Layers after a Massive Blunt Thoracic Trauma without Any Lesion on the Bones: A Case Report. Turkish Journal of Trauma & Emergency Surgery, 17, 87-89.
http://dx.doi.org/10.5505/tjtes.2011.79027
[16]
Turkmen, N., Bilgen, M.S., Eren, B., Fedakar, R. and Senel, B. (2009) Cardiac Rupture Due to Fall: A Case Study. Ann Acad Med Singap, 38, 156-157.
[17]
Udhayabanu, R., Parmar, P. and Balaraman, R. (2012) Sudden Death Due to Cardiac Rupture—A Case Report. International Journal of Medical and Pharmaceutical Sciences, 3, 11-15.
[18]
Machii, M., Inaba, H., Nakae, H., Suzuki, I. and Tanaka, H. (2000) Cardiac Rupture by Penetration of Fractured Sternum: A Rare Complication of Cardiopulmonary Resuscitation. Resuscitation, 43, 151-153.
http://dx.doi.org/10.1016/S0300-9572(99)00137-9
[19]
Tattoli, L., Maselli, E., Romanelli, M.C., Di Vella, G. and Solarino, B. (2014) Complete Cardiac Rupture Associated with Closed Chest Cardiac Massage: Case Report and Review of the Literature. Journal of Forensic Sciences, 59, 564-567. http://dx.doi.org/10.1111/1556-4029.12340
[20]
Klintschar, M., Darok, M. and Radner, H. (1998) Massive Injury to the Heart after Attempted Active Compression- Decompression Cardiopulmonary Resuscitation. International Journal of Legal Medicine, 111, 93-96.
http://dx.doi.org/10.1007/s004140050123
[21]
Sokolove, P.E., Willis-Shore, J. and Panacek, E.A. (2002) Exsanguination Due to Right Ventricular Rupture during Closed-Chest Cardiopulmonary Resuscitation. Journal of Emergency Medicine, 23, 161-164.
http://dx.doi.org/10.1016/S0736-4679(02)00504-8
[22]
Takada, A., Saito, K. and Kobayashi, M. (2003) Cardiopulmonary Resuscitation Does Not Cause Left Ventricular Rupture of the Heart with Acute Myocardial Infarction: A Pathological Analysis of 77 Autopsy Cases. Legal Medicine, 5, 27-33. http://dx.doi.org/10.1016/S1344-6223(03)00002-6
[23]
Noffsinger, A.E., Blisard, K.S. and Balko, M.G. (1991) Cardiac Laceration and Pericardial Tamponade Due to Cardiopulmonary-Resuscitation after Myocardial-Infarction. Journal of Forensic Sciences, 36, 1760-1764.
http://dx.doi.org/10.1520/JFS13201J
[24]
Basso, C., Corrado, D., Marcus, F.I., Nava, A. and Thiene, G. (2009) Arrhythmogenic Right Ventricular Cardiomyopathy. Lancet, 373, 1289-1300. http://dx.doi.org/10.1016/S0140-6736(09)60256-7
[25]
Ellinor, P.T., MacRae, C.A. and Thierfelder, L. (2010) Arrhythmogenic Right Ventricular Cardiomyopathy. Heart Failure Clinics, 6, 161-77. http://dx.doi.org/10.1016/j.hfc.2009.12.003
[26]
Marra, M.P., Rizzo, S., Bauce, B., De Lazzari, M., Pilichou, K., Corrado, D., Thiene, G., Iliceto, S. and Basso, C. (2015) Arrhythmogenic Right Ventricular Cardiomyopathy Contribution of Cardiac Magnetic Resonance Imaging to the Diagnosis. Herz, 40, 600-606. http://dx.doi.org/10.1007/s00059-015-4228-0
[27]
Kaye, S., McKetin, R., Duflou, J. and Darke, S. (2007) Methamphetamine and Cardiovascular Pathology: A Review of the Evidence. Addiction, 102, 1204-1211. http://dx.doi.org/10.1111/j.1360-0443.2007.01874.x
[28]
Hawley, L.A., Auten, J.D., Matteucci, M.J., Decker, L., Hurst, N., Beer, W. and Clark, R.F. (2013) Cardiac Complications of Adult Methamphetamine Exposures. The Journal of Emergency Medicine, 45, 821-827.
http://dx.doi.org/10.1016/j.jemermed.2013.04.061
