Coronary artery bypass surgery in undiagnosed traumatic pericardial rupture--25 years later.
A 55-year-old man was electively admitted for coronary artery bypass surgery. His admission chest X-ray showed an abnormal cardiac silhouette with complete leftward displacement. He had a past history of blunt thoracic trauma due to a motor vehicle accident treated conservatively. We present our findings and surgical difficulty during an operation on a patient with a previously undiagnosed pericardial rupture. This is the first reported case of its kind in the cardiac surgical literature.
Shah
Pallav J
PJ
Department of Cardiac Surgery, Austin Hospital, Studley Road, Austin Hospital, Melbourne, Heidelberg, Vic. 3084, Australia.
Buxton
Brian F
BF
Seevanayagam
Siven
S
D000063:Accidents, Traffic; D000787:Angina Pectoris / Q000453:epidemiology* / Q000601:surgery*; D015897:Comorbidity; D001026:Coronary Artery Bypass; D006335:Heart Injuries / Q000175:diagnosis* / Q000453:epidemiology* / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010496:Pericardium / Q000293:injuries*; D013997:Time Factors; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000453:epidemiology*