Rupture of the right upper pulmonary vein and left atrium caused by blunt chest trauma.
A 49-year-old man was transferred to our hospital by ambulance due to blunt chest trauma sustained in a car accident. Echocardiography and enhanced computed tomography showed hemopericardium without other vital organ damage. Emergent surgery was performed under strong suspicion of traumatic cardiac rupture. Careful inspection showed a rupture of the right upper pulmonary vein at the junction of the left atrium, a laceration of the inferior vena cava, and a left-side pericardium rupture, and they were repaired with running 4-0 polypropylene suture. Postoperative hemodynamics were stable. The patient was discharged ambulatory on postoperative day 15.
Department of Cardiovascular Surgery, Ibaraki Seinan Medical Center Hospital, 2190 Sakaimachi, Sashima-gun, Ibaraki, 306-0433, Japan. oosakam@yahoo.co.jp.
Motoo
M
Osaka
Department of Cardiovascular Surgery, Ibaraki Seinan Medical Center Hospital, 2190 Sakaimachi, Sashima-gun, Ibaraki, 306-0433, Japan.
Ryo
R
Nagai
Department of Cardiovascular Surgery, Ibaraki Seinan Medical Center Hospital, 2190 Sakaimachi, Sashima-gun, Ibaraki, 306-0433, Japan.
Tadashi
T
Koishizawa
D006348:Cardiac Surgical Procedures / Q000379:methods; D004452:Echocardiography; D006325:Heart Atria / Q000293:injuries*; D006335:Heart Injuries / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D011667:Pulmonary Veins / Q000293:injuries*; D012421:Rupture; D013898:Thoracic Injuries / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D014057:Tomography, X-Ray Computed; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000503:physiopathology / Q000601:surgery
Blunt chest trauma; Cardiac rupture; Pulmonary vein; Rupture