Right atrium traumatic rupture presenting as chronic tamponade.
Non-penetrating cardiac traumatisms can cause cardiac rupture, myocardial contusion or, rarely, commotio cordis. In cases of rupture of a cardiac cavity, acute and severe cardiac tamponade almost invariably occurs. This paper presents an exceptionally unusual case of non-penetrating cardiac trauma resulting in right atrium rupture contained by the pericardial cavity. A situation of exceptional hemodynamic balance was established with subacute, progressive cardiac tamponade that evolved during three months, presenting gradual right-heart failure instead of the expected acute and severe cardiac tamponade. The rupture of the atrium was successfully repaired.
Permanyer
Eduard
E
Department of Cardiac Surgery, Hospital de la Santa Creu i Sant Pau, C/Sant Antoni Maria Claret 167, 08025 Barcelona, Spain. eduardpermanyer@gmail.com
Ginel
Antonino
A
Muñoz-Guijosa
Christian
C
Padró
Josep Maria
JM
D000368:Aged; D006348:Cardiac Surgical Procedures; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D002908:Chronic Disease; D017548:Echocardiography, Transesophageal; D005260:Female; D006325:Heart Atria / Q000293:injuries / Q000503:physiopathology; D006333:Heart Failure / Q000209:etiology / Q000503:physiopathology; D006335:Heart Injuries / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D006439:Hemodynamics; D006801:Humans; D010490:Pericardial Effusion / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome