Very cool case

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As some of you have now surmised this was a right-sided cardiac herniation.
 I elected to operate through a clamshell (left antero-lateral initially to
confirm the diagnosis) but accept that if this was known to be the only
injury it could have been managed through a median sternotomy.  Pictures on
the website:
http://www.trauma.org/index.php/community/blog_post/karim_brohi/885/

<http://www.trauma.org/index.php/community/blog_post/karim_brohi/885/>Karim

2009/6/27 <KMATTOX at aol.com>

> Recommend you read the nice review of this subject in an article by Matthew
>  Wall in the Journal of Trauma about 2 years ago.       Apparently, even
> members of this list have some misconceptions regarding cardiac  herniation
> via pericardial tears (right, left, and diaphragmatic).
>
> k
>
>
>
>
>
> In a message dated 6/27/2009 8:20:06 A.M. Central Standard Time,
> rfsmithmd at comcast.net writes:
>
> I would  think if there was cardiac herniation from blunt trauma the
> person  would have other major injuries if not  death.
>
>
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