[Right atrial rupture after abdominal blunt trauma].
If the cardiac injuries are frequent after closed chest traumatism, the cardiac injuries after abdominal closed traumatism are unusual but serious. We report the case of a right auricular rupture associated with a liver injury after a closed abdominal traumatism. The diagnosis was suspected on the TDM and confirmed by echocardiography. An emergency sternotomy was performed due to sudden haemodynamic instability. The initial clinical signs are often misleading. However the diagnosis must be made quickly and the treatment begun without delay.
Gueret
G
G
Département d'anesthésie-réanimation chirurgicale, CHU la Cavale-Blanche, boulevard Tanguy-Prigent, 29609 Brest cedex, France. gildas.gueret@chu-brest.fr
Rossignol
B
B
Borg
R
R
Kiss
G
G
Chahir
N
N
Bezon
E
E
Arvieux
C-C
CC
D000007:Abdominal Injuries / Q000209:etiology; D000063:Accidents, Traffic; D000328:Adult; D004452:Echocardiography; D005260:Female; D006325:Heart Atria; D006341:Heart Rupture / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008099:Liver / Q000293:injuries; D013249:Sternum / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000000981:diagnostic imaging