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A Journal on Forensic Medicine
Minerva Medicolegale 1999 December;119(4): 219-22
Amputation of cardiac biventricular complex in closed chest trauma. A case report and comments on INAIL (National Insurance for Industrial Accidents)
Messina R., Boschi G., Tommasino M., Bertino M., Franco M. V.
The authors report a singular case of complete traumatic amputation of the cardiac biventricular complex in a closed chest trauma diagnosed in a subject who collided at high speed with an industrial vehicle driving a car. The claim was accepted by INAIL as an accident in itinere. The autopsy findings are reported, in particular those affecting the heart and large vessels and the lesions are described, consisting mainly of the traumatic section of almost all the cardial biventricular complex. Other lesions were also examined, mainly involving the liver and kidneys. The method of trauma is interpreted and the authors describe the mechanism of producing this lesion. A review of the recent specialised literature failed to find another report of this lesion involving the cardiac muscle in closed chest trauma.