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 Table of Contents  
IMAGES IN CARDIOTHORACIC TRAUMA
Year : 2019  |  Volume : 4  |  Issue : 1  |  Page : 69

Immediate repair of flail chest


Department of Trauma Surgery and Critical Care, Intermountain Medical Center, Salt Lake City, Utah, USA

Date of Web Publication30-Dec-2019

Correspondence Address:
Thomas W White
Department of Trauma Surgery and Critical Care, Intermountain Medical Center, Salt Lake City, Utah
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jctt.jctt_22_19

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How to cite this article:
White TW. Immediate repair of flail chest. J Cardiothorac Trauma 2019;4:69

How to cite this URL:
White TW. Immediate repair of flail chest. J Cardiothorac Trauma [serial online] 2019 [cited 2020 Oct 23];4:69. Available from: https://www.jctt.org/text.asp?2019/4/1/69/274209



This 51-year-old recreational cyclist was struck by a Sport Utility Vehicle (Chevy Suburban). Direct impact with the side view mirror created this flail chest injury with an associated hemopneumothorax, minimal pulmonary contusion, and Grade 2 liver laceration. After complete physical evaluation, relevant imaging (including chest computed tomography with three-dimensional reconstruction of the ribs) [Figure 1], and unsuccessful attempts to control his pain, he was taken to the operating room 3 hours after injury for Surgical Stabilization of Rib Fracture (SSRF).
Figure 1: Chest CT scan reformatted in 3D

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Postoperative chest X-ray demonstrates rib fixation hardware, restoration of normal chest wall contour, and satisfactory management of the pleural space [Figure 2]. The patient enjoyed an uneventful postoperative course.
Figure 2: Postoperative chest x-ray

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.




    Figures

  [Figure 1], [Figure 2]



 

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