ArticleMedicine2026
Traumatic cardiac rupture with cerebral herniation: A case report.
Article in Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
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Abstract
rationaleTraumatic cardiac rupture with concurrent cerebral herniation represents a critical emergency characterized by an extremely high prehospital mortality rate. Early diagnosis and multidisciplinary intervention are essential for survival. As this is a single-case report, the observations should be interpreted with caution. PATIENT CONCERNS: A 45-year-old woman presented in a coma with hemorrhagic shock following a traffic accident. Imaging revealed a massive left hemothorax, multiple rib fractures, and a right subdural hematoma with a 10 mm midline shift. DIAGNOSIS: Emergency surgery confirmed the diagnoses of cardiac rupture and cerebral herniation.
interventionsDamage-control surgery was initiated within 2 hours and included emergency thoracotomy for cardiac repair and decompressive craniectomy. OUTCOME: The patient was discharged on postoperative day 54. During follow-up, she exhibited no delayed cardiac complications on echocardiography. LESSONS: This case is notable for the rare concurrence of traumatic cardiac rupture and evolving cerebral herniation, necessitating staged, back-to-back thoracotomy and decompressive craniectomy. Early recognition, multidisciplinary coordination, and adherence to damage-control sequencing were essential for survival.
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