title: Direct repair of right atrial rupture after blunt chest trauma without cardiopulmonary bypass.
abstract: 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.
authors.affiliation: Department of Cardiovascular Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne.
authors.forename: A
authors.initials: A
authors.lastname: Dodge
authors.forename: A P
authors.initials: AP
authors.lastname: Fischer
authors.forename: H
authors.initials: H
authors.lastname: Sadeghi
mesh_terms: 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*