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A 39-year-old cyclist is brought to the emergency department after being hit by a car and thrown 7 m in the air.
On examination he was confused, agitated (Glasgow Coma Score 14/15) and presented with tachypnoea (RR 50), hypoxia (SpO2 75% on 15 L/min oxygen), tachycardia (heart rate 145) and hypotension (86/49 mm Hg). A focused assessment with sonography in trauma scan identified free fluid in Morrison's pouch. His chest X-ray is presented in figure 1.
What cardiovascular complication is more likely to be the consequence of the diagnosis established on the X-ray?
Ventricular aneurysm …
Contributors C-IE; article writing and photo editing. AW; manuscript revision and final approval.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.