Cardiac Rupture Caused by Blunt Trauma: Pitfalls in Diagnosis and Treatment.
10.4326/jjcvs.27.345
- VernacularTitle:鈍的外傷による心臓損傷例の検討 診断と治療におけるｐｉｔ ｆａｌｌ
- Author:
Teruyuki Koyama
;
Shin-ichi Endo
;
Yosuke Kitanaka
;
Koichi Nishimura
;
Shigeki Funaki
;
Hiroshi Takei
;
Tomizo Hiekata
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1998;27(6):345-350
- CountryJapan
- Language:Japanese
-
Abstract:
Diagnosis of cardiac rupture caused by blunt trauma is sometimes difficult when multi-organ injuries are associated with profound shock. Only prompt diagnosis and urgent treatment can save the patients. We have encountered 16 cases of blunt cardiac rupture, including 4 that survived in the past 10 years. All cases of cardiopulmonary arrest on arrival were unable to be resuscitated. Also, all cases of profound hemorrhagic shock caused by multi-organ injury succumbed. Among the cases in which the region of cardiac rupture was identified, only cases of injury to the right heart chambers were saved. No case of rupture in the left heart chambers survived. It is definitely important to suspect cardiac injury and make a prompt diagnosis to save patients with blunt chest trauma. Ultrasonic cardiography is highly effective for urgent diagnosis of cardiac rupture because it can be performed readily, noninvasively and, therefore, repeatedly.
