Surgical management and treatment of a traumatic right atrial rupture
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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 wordsRight atrial rupture Traumatic cardiac rupture Cardiac tamponade
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- 3.Fluda G, Brathwaite M, Rodriguez A, Turney SZ, Dunhan CM, Cowley RA. Blunt traumatic rupture of the heart and pericardium: a ten-year experience (1979–1989). J Trauma 1991;31:167–173.Google Scholar
- 10.Hamaji M, Kono S, Ishigami M, Kikuriya A, Kitano M, Matsuda M. Two cases of right atrial rupture due to blunt chest injury in teenaged drivers after motor vehicle accidents. Jpn J Cardiovasc Surg 2006;35:295–298.Google Scholar