title: Traumatic rupture of the coronary sinus following blunt chest trauma: a case report.
abstract: Cardiac rupture is rare but potentially life-threatening complication after chest trauma. We present the case of a 57-year-old male who developed cardiac arrest because of extensive pericardial tamponade after a falling injury. We decided to perform an exploratory sternotomy in the operating room (OR). The patient was transported to the OR on extracorporeal membrane oxygenation (ECMO) support. We found a rupture of the coronary sinus after evacuation of an extensive hematoma in the pericardium and primarily repaired the injured site. After 2 days, the patient died due to refractory cardiogenic shock. To our knowledge, this is the first reported case of rupture of the coronary sinus after blunt chest trauma.
authors.affiliation: Department of Thoracic and Cardiovascular surgery, Chonnam National University Hospital, Chonnam National University Medical School, 42, Jebong-ro, Dong-gu, Gwangju, 501-757, Republic of Korea. maskjoa@naver.com.
authors.forename: Do Wan
authors.initials: DW
authors.lastname: Kim
authors.affiliation: Department of Thoracic and Cardiovascular surgery, Chonnam National University Hospital, Chonnam National University Medical School, 42, Jebong-ro, Dong-gu, Gwangju, 501-757, Republic of Korea. waytogosun@naver.com.
authors.forename: Kyo Seon
authors.initials: KS
authors.lastname: Lee
authors.affiliation: Department of Thoracic and Cardiovascular surgery, Chonnam National University Hospital, Chonnam National University Medical School, 42, Jebong-ro, Dong-gu, Gwangju, 501-757, Republic of Korea. kjna1125@hanmail.net.
authors.forename: Kook Joo
authors.initials: KJ
authors.lastname: Na
authors.affiliation: Department of Thoracic and Cardiovascular surgery, Chonnam National University Hospital, Chonnam National University Medical School, 42, Jebong-ro, Dong-gu, Gwangju, 501-757, Republic of Korea. drosg@hanmail.net.
authors.forename: Sang Gi
authors.initials: SG
authors.lastname: Oh
authors.affiliation: Department of Emergency Medicine, Chonnam National University Hospital, Chonnam National University Medical School, 42, Jebong-ro, Dong-gu, Gwangju, 501-757, Republic of Korea. xnxn77@hanmail.net.
authors.forename: Yong Hun
authors.initials: YH
authors.lastname: Jung
authors.affiliation: Department of Thoracic and Cardiovascular surgery, Chonnam National University Hospital, Chonnam National University Medical School, 42, Jebong-ro, Dong-gu, Gwangju, 501-757, Republic of Korea. isjeong1201@gmail.com.
authors.forename: In Seok
authors.initials: IS
authors.lastname: Jeong
mesh_terms: D054326:Coronary Sinus / Q000293:injuries*; D017809:Fatal Outcome; D006341:Heart Rupture / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012770:Shock, Cardiogenic; D056346:Sternotomy; D013898:Thoracic Injuries / Q000175:diagnosis* / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000175:diagnosis* / Q000601:surgery