Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
권호 표지
DOI QR코드

DOI QR Code

Treatment results of cardiac tamponade due to thoracic trauma at Jeju Regional Trauma Center, Korea: a case series

  • Jeong Woo Oh (Department of Trauma Surgery, Jeju Regional Trauma Center, Cheju Halla General Hospital) ;
  • Minjeong Chae (Department of Nursing, Chosun Nursing College)
  • Received : 2022.10.29
  • Accepted : 2022.12.07
  • Published : 2023.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to report the treatment results of patients with traumatic cardiac tamponade after the opening of Jeju Regional Trauma Center. Methods: We analyzed the treatment outcomes of patients with traumatic cardiac tamponade who were treated at Jeju Regional Trauma Center from January 2018 to August 2022. Results: Seven patients with traumatic cardiac tamponade were treated. The male to female ratio was 1.33:1 (four male and three female patients) and the average age was 60.3±7.2 years. The mechanism of injury was blunt trauma in six cases and penetrating injury in one case. Upon arrival at the emergency department, pericardiostomy was performed in four cases, and an emergency operation was performed in six cases. Pericardiostomy alone was performed in one patient, who had cardiac tamponade due to extrapericardial suprahepatic inferior vena cava rupture. The causes of cardiac tamponade were right atrium appendage rupture in one case, right ventricle rupture in one case, inferior vena cava rupture in two cases, right atrium and left atrium rupture in one case, both atria and left ventricle rupture in one case, and intercostal artery rupture in one case. In three cases, intraoperative cardiopulmonary bypass was required. Two of the seven patients died (mortality rate, 28.5%). Conclusions: Relatively favorable treatment results were observed for traumatic cardiac tamponade patients after Jeju Regional Trauma Center was established.

Keywords

References

  1. Teixeira PG, Inaba K, Oncel D, et al. Blunt cardiac rupture: a 5-year NTDB analysis. J Trauma 2009;67:788-91. https://doi.org/10.1097/TA.0b013e3181825bd8
  2. Yun JH, Byun JH, Kim SH, et al. Blunt traumatic cardiac rupture: single-institution experiences over 14 years. Korean J Thorac Cardiovasc Surg 2016;49:435-42. https://doi.org/10.5090/kjtcs.2016.49.6.435
  3. Rodrigues AJ, Furlanetti LL, Faidiga GB, Scarpelini S, Barbosa Evora PR, de Andrade Vicente WV. Penetrating cardiac injuries: a 13-year retrospective evaluation from a Brazilian trauma center. Interact Cardiovasc Thorac Surg 2005;4:212-5. https://doi.org/10.1510/icvts.2004.099952
  4. Ishida K, Kinoshita Y, Iwasa N, et al. Emergency room thoracotomy for acute traumatic cardiac tamponade caused by a blunt cardiac injury: a case report. Int J Surg Case Rep 2017;35:21-4. https://doi.org/10.1016/j.ijscr.2017.03.009
  5. Lee SH, Jang MJ, Jeon YB. Blunt cardiac injuries that require operative management: a single-center 7-year experience. J Trauma Injury 2021;34:242-7. https://doi.org/10.20408/jti.2020.0069
  6. Mishra B, Gupta A, Sagar S, Singhal M, Kumar S. Traumatic cardiac injury: experience from a level-1 trauma centre. Chin J Traumatol 2016;19:333-6. https://doi.org/10.1016/j.cjtee.2016.08.001
  7. Nan YY, Lu MS, Liu KS, et al. Blunt traumatic cardiac rupture: therapeutic options and outcomes. Injury 2009;40:938-45. https://doi.org/10.1016/j.injury.2009.05.016
  8. El-Menyar A, Al Thani H, Zarour A, Latifi R. Understanding traumatic blunt cardiac injury. Ann Card Anaesth 2012;15:287-95. https://doi.org/10.4103/0971-9784.101875
  9. Soto JR, Murry JS, Truitt MS, Dunn EL. Penetrating cardiac injuries at a level II trauma center: a 15-year review. Am Surg 2015;81:324-5. https://doi.org/10.1177/000313481508100338
  10. Heus C, Mellema JJ, Giannakopoulos GF, Zuidema WP. Outcome of penetrating chest injuries in an urban level I trauma center in the Netherlands. Eur J Trauma Emerg Surg 2019;45:461-5. https://doi.org/10.1007/s00068-015-0533-9
  11. Hoffman L, Pierce D, Puumala S. Clinical predictors of injuries not identified by focused abdominal sonogram for trauma (FAST) examinations. J Emerg Med 2009;36:271-9. https://doi.org/10.1016/j.jemermed.2007.09.035
  12. Vance S. The FAST scan: are we improving care of the trauma patient? Ann Emerg Med 2007;49:364-6. https://doi.org/10.1016/j.annemergmed.2006.10.002
  13. Hartung O, Leprince P, Deneuville M. Delayed atrial rupture after blunt chest trauma. J Trauma 1998;45:833-4. https://doi.org/10.1097/00005373-199810000-00043
  14. Powell MA, Lucente FC. Diagnosis and treatment of blunt cardiac rupture. W V Med J 1997;93:64-7.
  15. Lee N, Tang D, Jayaraman S. Penetrating cardiac trauma and the use of emergent extracorporeal membrane oxygenation and therapeutic hypothermia: when cooler heads prevail. Trauma Case Rep 2015;1:95-8. https://doi.org/10.1016/j.tcr.2015.10.011