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http://dx.doi.org/10.12701/yujm.2020.00822

Cardiopulmonary bypass preparation is mandatory in cardiac exploration for blunt cardiac injury patients: two case reports  

Son, Shin-Ah (Department of Thoracic and Cardiovascular Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital)
Cho, Joon Yong (Department of Thoracic and Cardiovascular Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital)
Kim, Gun-Jik (Department of Thoracic and Cardiovascular Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital)
Lee, Young Ok (Department of Thoracic and Cardiovascular Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital)
Jung, Hanna (Department of Thoracic and Cardiovascular Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital)
Oh, Tak-Hyuk (Department of Thoracic and Cardiovascular Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital)
Publication Information
Journal of Yeungnam Medical Science / v.38, no.4, 2021 , pp. 356-360 More about this Journal
Abstract
Treating cardiac injuries following blunt trauma to the chest requires thorough examination, accurate diagnosis, and therapeutic plan. We present two cases; pulmonary vein rupture and left atrial appendage laceration, both as a result of blunt chest trauma. Through these cases, our team learned the importance of maintaining hemodynamic stability during the examination of injured cardiac structures. And based on the comprehensive cardiac examination, a decision to surgically intervene with median sternotomy via cardiopulmonary bypass was made, saving lives of the patient. This report introduces how such decision was made based on what supporting evidence and the diagnostic process leading to the initiation of surgical intervention. This report may help with decision-making process when confronted by blunt cardiac injury patients who need cardiac exploration.
Keywords
Cardiac surgical procedures; Cardiopulmonary bypass; Heart injuries; Multiple trauma;
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1 Hawkins ML, Carraway RP, Ross SE, Johnson RC, Tyndal EC, Laws HL. Pulmonary artery disruption from blunt thoracic trauma. Am Surg 1988;54:148-52.
2 Ouda A, Kappert U, Ghazy T, Weise M, Ebner B, Tugtekin SM, et al. Isolated rupture of the right upper pulmonary vein: a blunt cardiac trauma case. Ann Thorac Surg 2011;91:1267-9.   DOI
3 Yousef R, Carr JA. Blunt cardiac trauma: a review of the current knowledge and management. Ann Thorac Surg 2014;98:1134-40.   DOI
4 Nwaejike N, Mosca R, Hooper TL, Soon SY. Surgical repair of pulmonary vein injury from blunt trauma. Ann R Coll Surg Engl 2015;97:e34-6.   DOI
5 Fukunaga N, Konishi Y, Murashita T, Yuzaki M, Shomura Y, Koyama T, et al. Survival after simultaneous repair of bichamber cardiac and pulmonary vein rupture caused by blunt chest trauma. Ann Thorac Surg 2012;94:265-7.   DOI
6 Nan YY, Lu MS, Liu KS, Huang YK, Tsai FC, Chu JJ, et al. Blunt traumatic cardiac rupture: therapeutic options and outcomes. Injury 2009;40:938-45.   DOI
7 Varghese D, Patel H, Cameron EW, Robson M. Repair of pulmonary vein rupture after deceleration injury. Ann Thorac Surg 2000;70:656-8.   DOI
8 Fulda G, Brathwaite CE, Rodriguez A, Turney SZ, Dunham CM, Cowley RA. Blunt traumatic rupture of the heart and pericardium: a ten-year experience (1979-1989). J Trauma 1991;31:167-73.   DOI
9 Osaka M, Nagai R, Koishizawa T. Rupture of the right upper pulmonary vein and left atrium caused by blunt chest trauma. Gen Thorac Cardiovasc Surg 2017;65:646-9.   DOI
10 Le Guyader A, Bertin F, Laskar M, Cornu E. Blunt chest trauma: a right pulmonary vein rupture. Eur J Cardiothorac Surg 2001;20:1054-6.   DOI
11 Brathwaite CE, Rodriguez A, Turney SZ, Dunham CM, Cowley R. Blunt traumatic cardiac rupture: a 5-year experience. Ann Surg 1990;212:701-4.   DOI
12 Teixeira PG, Inaba K, Barmparas G, Georgiou C, Toms C, Noguchi TT, et al. Blunt thoracic aortic injuries: an autopsy study. J Trauma 2011;70:197-202.   DOI
13 Teixeira PG, Inaba K, Oncel D, DuBose J, Chan L, Rhee P, et al. Blunt cardiac rupture: a 5-year NTDB analysis. J Trauma 2009;67:788-91.   DOI
14 Turk EE, Tsang YW, Champaneri A, Pueschel K, Byard RW. Cardiac injuries in car occupants in fatal motor vehicle collisions: an autopsy-based study. J Forensic Leg Med 2010;17:339-43.   DOI
15 Turan AA, Karayel FA, Akyildiz E, Pakis I, Uzun I, Gurpinar K, et al. Cardiac injuries caused by blunt trauma: an autopsy based assessment of the injury pattern. J Forensic Sci 2010;55:82-4.   DOI