Delayed presentation with cardiac tamponade due to blunt thoracic trauma and ruptured left atrial appendage

  • Matthew Oates
  • Anand Iyer
  • Mark Fitzgerald
  • Sumit Yadav
  • Pankaj SaxenaEmail author
Case report


Delayed survival due to cardiac chamber rupture in the setting of blunt thoracic trauma is rare. Delay can occur due to transport from a remote location as reported herein when patient was operated upon 5 h later following left atrial rupture causing cardiac tamponade. We emphasize the need for high index of suspicion of cardiac tamponade in patients who show hemodynamic instability. Cardiopulmonary bypass may be required when there is uncontrolled bleeding following opening of the pericardium.


Blunt thoracic trauma Left atrium Cardiac tamponade 


Compliance with ethical standards


No funding was received for this study.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Indian Association of Cardiovascular-Thoracic Surgeons 2017

Authors and Affiliations

  • Matthew Oates
    • 1
  • Anand Iyer
    • 1
  • Mark Fitzgerald
    • 2
    • 3
  • Sumit Yadav
    • 1
  • Pankaj Saxena
    • 1
    • 2
    Email author
  1. 1.Department of Cardiothoracic SurgeryThe Townsville HospitalTownsvilleAustralia
  2. 2.National Trauma Research InstituteMelbourneAustralia
  3. 3.Alfred Trauma ServiceMelbourneAustralia

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