Direct repair of right atrial rupture after blunt chest trauma without cardiopulmonary bypass.
Tamponade from free wall rupture of the cardiac chambers following blunt thoracic trauma is relatively frequent. Diagnosis requires a high index of suspicion and is rapidly confirmed by echocardiography. Emergent surgery is always mandatory despite apparent stable vital signs. We report a successful repair of a lacerated right atrium without cardiopulmonary bypass (CPB), saved in extremis after undue in-hospital delay.
Dodge
A
A
Department of Cardiovascular Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne.
Fischer
A P
AP
Sadeghi
H
H
D000328:Adult; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000601:surgery; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D006341:Heart Rupture / Q000000981:diagnostic imaging / Q000601:surgery*; D006491:Hemothorax / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D010490:Pericardial Effusion / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000601:surgery*