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Left Atrial Rupture with Stable Vital Signs - A case report -  

Jeong, Jae-Han (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hallym University)
Cho, Sung-Woo (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hallym University)
Shin, Yoon-Cheol (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hallym University)
Lee, Hee-Sung (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hallym University)
Kim, Kun-Il (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hallym University)
Publication Information
Journal of Chest Surgery / v.41, no.5, 2008 , pp. 633-635 More about this Journal
Abstract
Cardiac rupture after blunt chest trauma is a relatively uncommon diagnosis, and it is associated with a very high mortality rate. A 41-years-old man crashed his car into a guardrail and he was then transported to hospital. Although unstable vital signs are the most common symptoms of cardiac injury, this patient had stable vital signs. The chest CT scan showed pericardial effusion, and echocardiography did not clearly reveal cardiac tamponade, but the right atrium was slightly collapsed. Cardiac injury was suspected, and surgery was commenced for obtaining the diagnosis and treatment. A 2cm laceration at the junction of the left atrium and the lefl inferior pulmonary vein was discovered and this was repaired with $4{\sim}0$ Polypropylne monofilament sutures. We report here on the successful management of a patient with left atrial rupture following blunt chest trauma.
Keywords
Cardiac rupture; Trauma; Blunt trauma;
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Times Cited By KSCI : 1  (Citation Analysis)
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