case_images: PMC11002335_01
case_images: Contrast-enhanced computed tomography image of the thoracic cavity. Contrast-enhanced computed tomography shows left serial fractures from the fourth to the seventh ribs with pleural effusion, suspected to be a hemothorax, and the protrusion of the sixth rib into the thoracic cavity toward the heart (arrow). It also shows extravasation into a liver cyst (arrowhead).
case_images: AMS2-11-e938-g001.jpg
case_images: PMC11002335_01_AMS2-11-e938-g001.jpg
case_images: ams2938-fig-0001
case_images: The sixth rib was protruding into the thoracic cavity toward the heart (Figure 1).
case_images: Intraoperative image. The intraoperative evaluation shows a crushed left ventricular wall below the injured pericardium on the left anterior side of the phrenic nerve (arrow), and injury to the diaphragm (arrowhead). The left phrenic nerve was preserved.
case_images: AMS2-11-e938-g004.jpg
case_images: PMC11002335_01_AMS2-11-e938-g004.jpg
case_images: ams2938-fig-0002
case_images: The assessment showed that the left ventricular wall was crushed below the injured pericardium on the anterior side of the phrenic nerve (Figure 2).
case_images: Computed tomography and chest radiographic images 3 months postoperatively. The computed tomography and chest radiographic images obtained 3 months postoperatively show no existing injuries. (A) The left fifth and sixth ribs are sandwiched between the artificial plates (encircle), and no ventricular aneurysm is observed. (B) The left fourth to seventh rib fractures are repaired, and the left diaphragm remains unelevated.
case_images: AMS2-11-e938-g002.jpg
case_images: PMC11002335_01_AMS2-11-e938-g002.jpg
case_images: ams2938-fig-0003