Survival following traumatic ventricular rupture and prolonged ambulance transport in a patient with previous coronary artery bypass surgery.
Patients presenting with traumatic cardiac rupture are unlikely to survive lengthy transfers from the trauma scene to a hospital. However, in patients with a previous sternotomy, adhesions may divert cardiac hemorrhage, allowing hemodynamic management to be successful. We present an 83-year-old male with a history of coronary artery bypass grafting (CABG) who sustained a right ventricular rupture. He underwent an immediate redo sternotomy and was discharged 10 days postoperatively with no complications.
Division of Cardiac Surgery, Hamilton General Hospital, McMaster University, Hamilton, Ontario, Canada.
Tristan
T
Juvet
Abdulwahab
A
Al-Khalifa
Steve K
SK
Singh
D000063:Accidents, Traffic; D000369:Aged, 80 and over; D000552:Ambulances; D001026:Coronary Artery Bypass; D004452:Echocardiography; D004630:Emergencies; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000293:injuries; D006801:Humans; D008297:Male; D012086:Reoperation; D056346:Sternotomy; D013997:Time Factors; D000267:Tissue Adhesions; D014057:Tomography, X-Ray Computed; D014187:Transportation of Patients; D016896:Treatment Outcome