Skip to main content
SpringerLink
Log in

Successful hybrid treatment of a rare case of blunt traumatic rupture of the left atrial basal appendage and aortic arch

  • Case Report
  • Published:
General Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Despite advances in emergency care and the emergent transportation system, cardiac and aortic ruptures after blunt trauma are associated with high mortality and morbidity. We present a rare case of a 70-year-old man with a ruptured left atrial basal appendage and distal aortic arch after sustaining blunt trauma to the chest during a motor vehicle accident. The patient was transported to our hospital in a state of shock and taken directly to the operating room. Hybrid treatment was performed, including surgical repair of the left atrium under cardiopulmonary bypass and thoracic endovascular aortic repair, was performed. The patient fully recovered without any complications.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Nan YY, Lu MS, Liu KS, et al. Blunt traumatic cardiac rupture: therapeutic options and outcomes. Injury. 2009;40:938–45.

    Article  PubMed Central  Google Scholar 

  2. Brintz M, Gall WE, Harbin D. Blunt myocardial disruption: report of an unusual case and literature review. J Trauma. 1992;33:933–4.

    Article  Google Scholar 

  3. Yousef R, Carr JA. Blunt cardiac trauma: a review of the current knowledge and management. Ann Thorac Surg. 2014;98:1134–40.

    Article  PubMed Central  Google Scholar 

  4. Tanoue K, Sata N, Moriyama Y, Miyahara K. Rupture of the left atrial ‘basal’ appendage due to blunt trauma in an elderly patient. Euro J Cardiothorac Surg. 2008;34:1118–9.

    Article  Google Scholar 

  5. Tang GL, Tehrani HY, Usman A, et al. Reduced mortality, paraplesia, and stroke with stent graft repair of blunt aortic transections: a modern meta-analysis. J Vasc Surg. 2008;47:671–5.

    Article  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Cardiovascular Surgery, Department of Surgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho Chuo-ku, Kobe, 650-0017, Japan

    Yuki Ikeno, Yoshikatsu Nomura, Masamichi Matsumori, Yasuko Gotake, Hidekazu Nakai, Takashi Matsueda, Katsuhiro Yamanaka, Takeshi Inoue, Hiroshi Tanaka & Yutaka Okita

Authors
  1. Yuki Ikeno
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Yoshikatsu Nomura
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Masamichi Matsumori
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Yasuko Gotake
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Hidekazu Nakai
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Takashi Matsueda
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Katsuhiro Yamanaka
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Takeshi Inoue
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Hiroshi Tanaka
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Yutaka Okita
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Yuki Ikeno.

Ethics declarations

Conflict of interest

Yuki Ikeno has no conflict of interest. Yoshikatsu Nomura has no conflict of interest. Masamichi Matsumori has no conflict of interest. Yasuko Gotake has no conflict of interest. Hidekazu Nakai has no conflict of interest. Takashi Matsueda has no conflict of interest. Katsuhiro Yamanaka has no conflict of interest. Takeshi Inoue has no conflict of interest. Hiroshi Tanaka has no conflict of interest. Yutaka Okita has no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ikeno, Y., Nomura, Y., Matsumori, M. et al. Successful hybrid treatment of a rare case of blunt traumatic rupture of the left atrial basal appendage and aortic arch. Gen Thorac Cardiovasc Surg 67, 1081–1083 (2019). https://doi.org/10.1007/s11748-018-0992-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11748-018-0992-0

Keywords

Search

Navigation