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Ann Thorac Surg 2002;73:1950-1951
© 2002 The Society of Thoracic Surgeons

Case report

Seat belt-related chondrosternal disruption with lung herniation

David Rice, MB, BCha*, Naveen Bikkasani, MDc, Raphael Espada, M.D.a, Kenneth Mattox, MDa,b, Matthew Wall, MDa,b

a Divisions of Cardiothoracic Surgery, Houston, Texas USA
b Trauma and Critical Care Service, Houston, Texas USA
c Department of Radiology, Ben Taub General Hospital and Baylor College of Medicine, Houston, Texas USA

Accepted for publication November 6, 2001.

* Address reprint requests to Dr Rice, Department of Thoracic and Cardiovascular Surgery, The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd, Box 445, Houston, TX 77030-4009 USA
e-mail: drice{at}mdanderson.org

A case of blunt chest trauma resulting in anterior chondrosternal separation with right lung herniation and hemothorax is presented. The injury is related to the use of a seat belt restraint. The patient underwent surgical repair with polytetrafluoroethylene chest wall reconstruction. Postoperative recovery was complicated by respiratory insufficiency due to underlying pulmonary contusion and multiple rib fractures.






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Copyright © 2002 by The Society of Thoracic Surgeons.