Cardiac rupture with intact pericardium: A report of four cases and short review of the literature. (September 2019)

• Record Type: Journal Article
• Authors: Lv, Bin; Qiu, Mingjie; Mu, Jiao; Ma, Jing; Wu, Jiayan; Dong, Hongmei
• Is Part Of: Legal medicine. Volume 40(2019)
• Page Start: 1
• Page End: 4
• Publication Date: 2019-09
• Subjects: Forensic science -- Blunt trauma -- Cardiac rupture -- Hemopericardium; Medical jurisprudence -- Periodicals; Forensic Medicine -- Periodicals; Médecine légale -- Périodiques; Medical jurisprudence; Periodicals; 614.1
• DOI: 10.1016/j.legalmed.2019.06.006
• Languages: English
• ISSNs: 1344-6223

Abstract

Highlights: Our paper reports four cases of uncommon cardiac rupture with intact pericardium. Our paper proposes some diagnostic pointers to analyze the natural of this uncommon lesion. We highlight that this lesion should be discriminated in CPR-related cardiac rupture. Abstract: Cardiac rupture with intact pericardium is a dangerous lesion due to high and rapid mortality. Its most common etiologies are blunt chest trauma and myocardial infarction. In forensic practice, this type of rupture can involve a complex relationship between trauma and cardiac disease, so clarifying the main cause of rupture is critical. Herein, we present four cases of cardiac rupture with intact pericardium, which were due to trauma, pathology or both. We propose several diagnostic pointers to analyze this uncommon lesion. Furthermore, the possibility of cardiac rupture induced by cardiopulmonary resuscitation should also be discriminated in such cases.