title: Blunt cardiac rupture in a patient with a history of total correction of tetralogy of Fallot.
abstract: A 35-year-old man with a history of total correction of tetralogy of Fallot (TOF) fell down while riding a bike and experienced blunt cardiac rupture. His vital signs were stable because the bleeding was limited by an adhesion caused by the previous operation. Chest computed tomography clearly displayed the ruptured points, and an emergency operation was performed. Because a pneumothorax was suspected, a cardiopulmonary bypass was established with a femorofemoral bypass while the patient was conscious before artificial ventilation was initiated. Two ruptured points were detected on the anterior wall of the right ventricle and were repaired by suturing. The patient recovered and was discharged without any major complications 40 days after the operation. This is the first published case of blunt cardiac rupture after total correction of TOF.
authors.affiliation: Department of Cardiovascular Surgery, Okayama University, Hospital, 2-5-1 Shikatacho, Okayama, 700-8558, Japan. GZE00572@nifty.ne.jp
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Fujii
authors.forename: Teiji
authors.initials: T
authors.lastname: Akagi
authors.forename: Shingo
authors.initials: S
authors.lastname: Kasahara
authors.forename: Hideya
authors.initials: H
authors.lastname: Mitsui
authors.forename: Kozo
authors.initials: K
authors.lastname: Ishino
authors.forename: Shunji
authors.initials: S
authors.lastname: Sano
mesh_terms: D000058:Accidental Falls; D000063:Accidents, Traffic; D000328:Adult; D006348:Cardiac Surgical Procedures; D002315:Cardiopulmonary Bypass; D006335:Heart Injuries / Q000453:epidemiology / Q000601:surgery*; D006352:Heart Ventricles / Q000293:injuries*; D006801:Humans; D006810:Humeral Fractures / Q000601:surgery; D008297:Male; D009104:Multiple Trauma / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery*; D012121:Respiration, Artificial; D013771:Tetralogy of Fallot / Q000601:surgery*; D000267:Tissue Adhesions