title: A successfully treated case of blunt traumatic right coronary ostium rupture.
abstract: Cardiac tamponade due to coronary artery rupture, as a consequence of blunt trauma, is a rare but usually fatal condition. We successfully obtained primary hemostasis with emergency room thoracotomy, followed by delayed definitive treatment of the ruptured right coronary artery ostium in a motor vehicle accident victim with multifocal hemorrhagic lesions. Survival of patients with the described serious trauma has not been reported, and we discuss herein our treatment strategy.
authors.affiliation: Department of Emergency and Critical Care Medicine, Sapporo Municipal Hospital, Sapporo, Japan. satoru-sugimoto@hokkaido.med.or.jp
authors.forename: Satoru
authors.initials: S
authors.lastname: Sugimoto
authors.forename: Akihiko
authors.initials: A
authors.lastname: Yamauchi
authors.forename: Kinya
authors.initials: K
authors.lastname: Kudoh
authors.forename: Mineji
authors.initials: M
authors.lastname: Hayakawa
authors.forename: Yasumi
authors.initials: Y
authors.lastname: Igarashi
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Tanaka
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000601:surgery*; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D000075202:Contraindications; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000293:injuries* / Q000601:surgery; D004630:Emergencies; D006801:Humans; D008297:Male; D009104:Multiple Trauma / Q000000981:diagnostic imaging / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D012086:Reoperation; D013536:Suture Techniques; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000601:surgery*