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General Thoracic and Cardiovascular Surgery

, Volume 56, Issue 11, pp 551–554 | Cite as

Surgical management and treatment of a traumatic right atrial rupture

  • Takeshi HakubaEmail author
  • Naoki Minato
  • Toshinori Minematsu
  • Keiji Kamohara
Case Report

Abstract

We have treated three patients with blunt traumatic right atrial rupture, all of whom survived after an emergent cardiac repair without cardiopulmonary bypass. Cardiac tamponade was seen in two of the three cases on ultrasonographic cardiography (UCG). The site of rupture was the right atrial appendage in two cases and the superior vena cava-right atrial (SVC-RA) junction in one case. Hemostasis had been obtained at the time of pericardiotomy because of compression by hematoma. Some patients with a right atrial rupture respond to initial volume resuscitation. Suspecting some cardiac injuries in patients with traumatic pericardial effusion on UCG, a patient with a right atrial rupture can survive with a high probability, without the use of cardiopulmonary bypass.

Key words

Right atrial rupture Traumatic cardiac rupture Cardiac tamponade 

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Copyright information

© The Japanese Association for Thoracic Surgery 2008

Authors and Affiliations

  • Takeshi Hakuba
    • 1
    Email author
  • Naoki Minato
    • 1
  • Toshinori Minematsu
    • 1
  • Keiji Kamohara
    • 1
  1. 1.Department of Thoracic and Cardiovascular SurgeryFukuoka Tokushukai HospitalFukuokaJapan

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