{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T07:51:33Z","timestamp":1753861893598,"version":"3.41.2"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,11,24]],"date-time":"2024-11-24T00:00:00Z","timestamp":1732406400000},"content-version":"vor","delay-in-days":328,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acute Medicine &amp; Surgery"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Cardiac rupture is rare but has a high mortality rate. Cardiac rupture due to blunt trauma is generally caused by the heart being pinched into the bony thorax.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case Presentation<\/jats:title><jats:p>A 90\u2010year\u2010old man in shock was transported to the hospital after his precordium was stepped on by a cow. He developed right atrial rupture from penetration of the heart by fractured and calcified costal cartilage, with massive hemothorax, hemorrhagic shock, and respiratory failure. We immediately performed cardiac injury repair. The patient was discharged without sequelae.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Emergency physicians should be aware that secondary cardiac rupture can show a penetrating injury\u2010like presentation due to calcified costal cartilage caused by blunt chest trauma.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ams2.70024","type":"journal-article","created":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T07:34:29Z","timestamp":1732520069000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Cardiac rupture caused by penetration of the heart by fractured costal cartilage following blunt chest trauma: A case report"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-7948-2476","authenticated-orcid":false,"given":"Masao","family":"Hattori","sequence":"first","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Shinshu University School of Medicine  Matsumoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mayo","family":"Akita","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Shinshu University School of Medicine  Matsumoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kotaro","family":"Mori","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Shinshu University School of Medicine  Matsumoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michitaro","family":"Ichikawa","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Shinshu University School of Medicine  Matsumoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kanako","family":"Takeshige","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Shinshu University School of Medicine  Matsumoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Kamijo","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Shinshu University School of Medicine  Matsumoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katsunori","family":"Mochizuki","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Shinshu University School of Medicine  Matsumoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1914-486X","authenticated-orcid":false,"given":"Hiroshi","family":"Imamura","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Shinshu University School of Medicine  Matsumoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haruki","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery Shinshu University School of Medicine  Matsumoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsu","family":"Takeda","sequence":"additional","affiliation":[{"name":"Department of Respiratory Surgery Shinshu University School of Medicine  Matsumoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,11,24]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2019.12.038"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.18.3.371"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1556-4029.2009.01207.x"},{"key":"e_1_2_9_5_1","first-page":"527","article-title":"Blunt cardiac injury: case report of salvaged traumatic right atrial rupture","volume":"21","author":"Ayyan MA","year":"2015","journal-title":"Ulus Travma Acil Cerrahi Derg"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198404000-00001"},{"key":"e_1_2_9_7_1","first-page":"38","article-title":"Penetrating heart injuries due to puncture by fractured sternum or ribs following blunt trauma","volume":"1","author":"Tokur M","year":"2011","journal-title":"J Curr Surg"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(73)90349-9"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)33188-5"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2015.10.027"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(89)90203-8"}],"container-title":["Acute Medicine &amp; 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