J Korean Soc Radiol.  2014 Jun;70(6):411-414. 10.3348/jksr.2014.70.6.411.

Blunt Rupture of Left Ventricle Diagnosed Using Two Phase Contrast Enhanced CT: A Case Report

• Kim DY
• Ryu DS
• Ahn JH
• Park MS
• Jung SM
• Choi SJ
• Shin DR
• Yoo DG

• KMID: 1941767
• DOI: http://doi.org/10.3348/jksr.2014.70.6.411

Abstract

This report is about a case of left ventricle rupture after blunt trauma diagnosed using two phase contrast enhanced CT. Arterial phase images suggest presence of cardiac tamponade. Delayed images suggest cardiac injury that shows a linear low density on the left ventricle wall.

MeSH Terms

Cardiac Tamponade
Heart Rupture
Heart Ventricles*
Rupture*

Figure

• 

  Fig. 1 A 28-year-old male patient after a motor vehicle collision. A. Anteroposterior chest radiograph shows widened superior mediastinal borders (arrows). B. Un-enhanced multidetector-row computed tomography (MDCT) scan shows a large volume of pericardial fluid collection (arrow) with CT density measurements (56 Hounsfield units) consistent with hemopericardium. C. Arterial phase enhanced MDCT with coronal reconstruction shows distended right jugular vein (arrow). D. Arterial phase enhanced MDCT with coronal reconstruction shows reflux of contrast material within the distended azygos vein (arrow) and thickening of left ventricle wall (arrowhead) caused by compression due to hemopericardium (asterisk). E. Delayed phase enhanced MDCT shows an area of linear low density in the left midventricular lateral wall (arrow), suggesting ventricle injury. F. Delayed phase enhanced MDCT shows periportal edema (arrow) in the liver, distended inferior vena cava with reflux of the contrast material (arrowhead), and decreased diameter of the abdominal aorta (asterisk), suggesting cardiac tamponade. G. Delayed phase enhanced MDCT 5 days after surgery shows decreased pericardial fluid collection with pledgeted sutures (arrow) on the left midventricular lateral wall.

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