Abstract

We present a case report where a young adult who suffers a severe trauma with moderate cranial-brain trauma during a traffic accident, a closed trauma to the chest and abdomen, his general condition and what was observed during hospital admission, medical management is on track to cranial and abdominal traumas, despite surgical treatment dies. The post-mortem examination shows partial avulsion of pulmonary hilus and cardiac tamponade. During the revision of the heart, an oblique branch of the anterior descending artery with massive bleeding to the pericardial sac and subsequent cardiac tamponade as a basic cause of death is observed. The usual in cases of closed chest trauma with cardiac involvement is the laceration of the heart or coronary arteries by the displaced ribs, in this case the coronary burst was due to the sudden and exaggerated increase of the intrathoracic pressure due to the closed trauma without there being rib fractures.

Keywords: Politrauma; Coronary blast; Cardiac tamponade