title: Coronary sinus and atrioventricular groove avulsion after motor vehicle crash.
abstract: Simultaneous cardiac and pericardial rupture from blunt chest trauma is a highly lethal combination with rarely reported survival. We report of a case of young patient with a right atrioventricular groove injury, pericardial rupture and a unique description of a coronary sinus avulsion following blunt chest trauma. Rapid recognition of this injury is crucial to patient survival, but traditional diagnostic adjuncts such as ultrasound, echocardiography and computed tomography are often unhelpful. Successful repair of these injuries requires high suspicion of injury, early cardiac surgery involvement of and possible even placement of the patient on cardiopulmonary bypass.
authors.affiliation: Department of Surgery, Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, Tennessee, USA ; Department of Surgery, Division of Trauma and Surgical Critical Care, Tennessee, USA.
authors.forename: Bradley M
authors.initials: BM
authors.lastname: Dennis
authors.affiliation: Department of Surgery, Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
authors.forename: Leigh Anne
authors.initials: LA
authors.lastname: Dageforde
authors.affiliation: Department of Cardiac Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
authors.forename: Rashid M
authors.initials: RM
authors.lastname: Ahmad
authors.affiliation: Department of Surgery, Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, Tennessee, USA ; Department of Surgery, Division of Trauma and Surgical Critical Care, Tennessee, USA.
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Eckert
keywords: Atrium; blunt; emergency myocardial injury (incl blunt, penetrating, iatrogenic) pericardium surgery; trauma