A successfully treated case of blunt traumatic right coronary ostium rupture.
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.
Sugimoto
Satoru
S
Department of Emergency and Critical Care Medicine, Sapporo Municipal Hospital, Sapporo, Japan. satoru-sugimoto@hokkaido.med.or.jp
Yamauchi
Akihiko
A
Kudoh
Kinya
K
Hayakawa
Mineji
M
Igarashi
Yasumi
Y
Tanaka
Toshiaki
T
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*