Cardiac Rupture of the Junction of the Right Atrium and Superior Vena Cava in Blunt Thoracic Trauma
10.4266/kjccm.2015.30.1.27
- Author:
Chun Sung BYUN
1
;
Il Hwan PARK
;
Tae Hoon KIM
;
Eunbi LEE
;
Joong Hwan OH
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea. mdjhoh@yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
heart injuries;
heart rupture;
pericardiocentesis;
trauma, blunt injuries
- MeSH:
Cardiopulmonary Bypass;
Critical Care;
Emergencies;
Heart Atria;
Heart Injuries;
Heart Rupture;
Humans;
Pericardiocentesis;
Thoracostomy;
Vena Cava, Superior
- From:The Korean Journal of Critical Care Medicine
2015;30(1):27-30
- CountryRepublic of Korea
- Language:English
-
Abstract:
Cardiac rupture following blunt thoracic trauma is rarely encountered, since it commonly causes death at the scene. With advances in critical care, blunt cardiac rupture has been successfully treated with well-organized team approach including an emergency physician, anesthesiologist, and cardiac surgeon. We encountered a patient with blunt cardiac rupture of the junction of the superior vena cava and right atrium that extended 7 cm to the right ventricular junction. The patient was successfully resuscitated after a closed thoracostomy and pericardiocentesis with fluid loading. Cardiac injury was repaired via mid-sternotomy without cardiopulmonary bypass. The patient recovered without complications and was discharged on the 7th day after surgery.
