title: Isolated rupture of the right upper pulmonary vein: a blunt cardiac trauma case.
abstract: A 37-year-old woman who sustained blunt chest trauma as a result of a car accident was found unconscious at the accident site with signs of circulatory compromise. Computed tomographic trauma screening excluded thoracic, intracranial, and intra-abdominal bleeding, or other pathologic findings, except a small circumferential hemopericardium. Echocardiography revealed a hemopericardium that was partially clotted and the beginning of compression of the right ventricle. Because of progressive hemodynamic compromise, the decision was made for operative exploration. After a median sternotomy, the resultant excessive bleeding necessitated extracorporeal circulation. Careful inspection revealed isolated rupture of the upper right pulmonary vein, which was successfully repaired.
authors: Department of Cardiac Surgery, Dresden Heart Center, Dresden, Germany. dr_a_safwat@hotmail.com
authors: Ahmed
authors: A
authors: Ouda
authors: Utz
authors: U
authors: Kappert
authors: Tamer
authors: T
authors: Ghazy
authors: Matthias
authors: M
authors: Weise
authors: Bernd
authors: B
authors: Ebner
authors: Sems-Malte
authors: SM
authors: Tugtekin
authors: Klaus
authors: K
authors: Matschke
mesh_terms: D000328:Adult; D005260:Female; D006335:Heart Injuries / Q000150:complications*; D006801:Humans; D011667:Pulmonary Veins / Q000293:injuries*; D012421:Rupture; D014949:Wounds, Nonpenetrating / Q000150:complications*