Blunt trauma patients with myocardial ruptures rarely survive long enough t
o reach a trauma center; however, for the survivors, prompt diagnosis and s
urgery are mandatory and save up to 80% of patients. Preoperative diagnosis
of myocardial ruptures is assessed by echocardiography or, more rarely, by
angiocardiography. We report two cases of blunt trauma patients with an at
rial appendage rupture which could be retrospectively identified on admissi
on CT survey.