Surgical management and treatment of a traumatic right atrial rupture.
We have treated three patients with blunt traumatic right atrial rupture, all of whom survived after an emergent cardiac repair without cardiopulmonary bypass. Cardiac tamponade was seen in two of the three cases on ultrasonographic cardiography (UCG). The site of rupture was the right atrial appendage in two cases and the superior vena cava-right atrial (SVC-RA) junction in one case. Hemostasis had been obtained at the time of pericardiotomy because of compression by hematoma. Some patients with a right atrial rupture respond to initial volume resuscitation. Suspecting some cardiac injuries in patients with traumatic pericardial effusion on UCG, a patient with a right atrial rupture can survive with a high probability, without the use of cardiopulmonary bypass.
Hakuba
Takeshi
T
Department of Thoracic and Cardiovascular Surgery, Fukuoka Tokushukai Hospital, 4-5 Suku-kita, Kasuga, Fukuoka 816-0864, Japan. tks.Hakuba@gmail.com
Minato
Naoki
N
Minematsu
Toshinori
T
Kamohara
Keiji
K
D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging; D004452:Echocardiography; D004630:Emergencies; D005260:Female; D006325:Heart Atria / Q000293:injuries* / Q000601:surgery; D006335:Heart Injuries / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010490:Pericardial Effusion / Q000000981:diagnostic imaging / Q000209:etiology; D012421:Rupture; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000601:surgery*