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J Thorac Cardiovasc Surg 2007;134:506-507
© 2007 The American Association for Thoracic Surgery

Brief Communication

Wakeboarding-related water impact trauma as a cause of fatal cardiac rupture

^a Department of Cardiothoracic Surgery, National Heart Centre, Singapore
^c Department of Cardiovascular Medicine, National Heart Centre, Singapore
^b Singapore General Hospital, Singapore
^d Centre for Forensic Medicine, Singapore General Hospital, Singapore.

Received for publication March 15, 2007; accepted for publication April 19, 2007.

^_* Address for reprints: Jang Wen Su, FRCSCTh, Department of Cardiothoracic Surgery, National Heart Centre, Mistri Wing, 17 Third Hospital Ave, Singapore 168752. (Email: bottle1001@yahoo.com).

The first 20% of the full text of this article appears below.

Wakeboarding is a very popular water sport, with high potential for injury.^1,2 We report the case of a young male patient who had a severe cardiac contusion with tamponade from hemopericardium after a fall during wakeboarding. The subsequent progression to myocardial necrosis resulted in fatal left ventricular free wall rupture. We believe this to be the first reported case of wakeboarding-related severe, fatal cardiac injury in the literature.

Clinical Summary

We present the case of a 25-year-old man who fell from a 1-m height during wakeboarding. The automated trailer was traveling at a speed of 25 km/h when he fell prone into the water.

He presented 3 hours later with persistent dull central chest pain, increasing dyspnea, and orthopnea. He was hemodynamically unstable, with a heart rate of 140 beats/min and a blood pressure of 76/40 mm Hg. Clinically, he was in cardiac tamponade, as evidenced by increased jugular venous pressure and muffled heart sounds. Pulsus paradoxus was also detected on the arterial waveform. However, there was no sign of external chest injury.

A chest radiograph revealed a globular cardiac shadow. An . . . [Full Text of this Article]

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