Blunt cardiac rupture
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Blunt injury to the heart ranges from contusion to disruption. This report comprises 14 patients seen during a 6-year period with cardiac rupture secondary to blunt trauma. Eight patients were injured in automobile accidents, two patients were injured in auto-pedestrian accidents, two were kicked in the chest by ungulates, and two sustained falls. Cardiac tamponade was suspected in ten patients. Five patients presented with prehospital cardiac arrest or arrested shortly after arrival. All underwent emergency department thoracotomy without survival. Two patients expired in the operating room during attempted cardiac repair; both had significant extracardiac injury. Seven patients survived, three had right atrial injuries, three had right ventricular injuries, and one had a left atrial injury. Cardiopulmonary bypass was not required for repair of the surviving patients. There were no significant complications from the cardiac repair.
This video in 30 seconds
This video presents a report of blunt cardiac rupture covering fourteen patients seen over a six-year period. It describes how the patients were injured, that cardiac tamponade was suspected in ten of them, and the outcomes described, including seven patients who survived repairs of right atrial, right ventricular and left atrial injuries without cardiopulmonary bypass.
Key points
- Describes fourteen patients with cardiac rupture secondary to blunt trauma over a six-year period
- Lists injury mechanisms including automobile accidents, auto-pedestrian accidents, kicks to the chest by ungulates and falls
- Notes cardiac tamponade was suspected in ten patients
- Describes emergency department thoracotomy in patients who presented with or developed cardiac arrest, without survival in that group as reported
- Reports seven survivors, with right atrial, right ventricular and left atrial injuries, whose repairs did not require cardiopulmonary bypass
Video Overview
This video presents “Blunt cardiac rupture” — Blunt injury to the heart ranges from contusion to disruption. This report comprises 14 patients seen during a 6-year period with cardiac rupture secondary to blunt trauma. Eight patients were injured in automobile accidents, two patients. Whether you are preparing for a procedure, studying the technique, or learning how a condition is assessed, the recording shows the process as it is performed in practice.
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