Surviving resuscitation: successful repair of cardiac rupture.
An 83-year-old man was found unconscious and was successfully resuscitated. Progressive cardiac failure developed. After 42 hours of observation echocardiography revealed cardiac tamponade and a discontinuity in the left atrial wall. Exploration showed a laceration of the left atrium at the junction of the left pulmonary veins, which was closed with a direct suture on cardiopulmonary bypass. The postoperative course was uneventful.
Bitkover
C Y
CY
Department of Cardiothoracic Surgery, Karolinska Hospital, Stockholm, Sweden.
al-Khalili
F
F
Ribeiro
A
A
Liska
J
J
D000368:Aged; D000369:Aged, 80 and over; D002305:Cardiac Tamponade / Q000209:etiology / Q000601:surgery; D002315:Cardiopulmonary Bypass; D004452:Echocardiography; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000601:surgery*; D006336:Heart Massage / Q000009:adverse effects*; D006341:Heart Rupture / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008297:Male