Successful Management Of Heart Rupture From Blunt Trauma
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4 Case Report Page 1 of 4 Successful management requiring
TDH acquired after a blunt or penetrating trauma with a 3:1 ratio (4). The most predominant cause of TDH is blunt thoracoabdominal trauma, such as traffic accident and fall from height (5). The left TDH is more commonly seen and the right is relatively rare. Diaphragmatic rupture 76% appear in the left, 22% in the right and
Successful management of a stab wound to the left ventricle
slow or rapid compression of the heart due to the accumulation of pericardial fluid, pus, blood, clots, or gas, as a result of effusion, trauma, or rupture of the heart. 7 Cardiac tamponade may be of a wide variety of causes which can be broadly classified into haemorrhagic, serous or sero-sanguinous and purulent. Haemorrhagic causes, relevant
A review on Traumatic diaphragmatic rupture
recognised consequence of high velocity blunt and penetrating trauma to the abdomen and chest rather than from a trivial fall . Traumatic diaphragmatic injuries occur in 0.8% 8% of patients who sustain blunt trauma. Up to 90% of diaphragmatic ruptures from blunt trauma occur in young men after motor vehicle accidents [12,13]. Injuries to the
Case Report Delayed repair of traumatic aortic injury
Keywords: Blunt traumatic aortic injury, hepatic rupture, surgery Introduction Blunt traumatic aortic injury (BTAI) is a life-threatening injury, and is the second most com - mon cause of death following blunt trauma. The most common site of rupture occurs at the aor - tic isthmus, followed by the ascending aorta,
Journal of Cardiothoracic Surgery BioMed Central
sor apparatus rupture or rarely an aortic cuspal rupture [2,3]. Cardiac contusion is by far the commonest of these, is followed by cardiac rupture uncommonly (0.3%), which, in turn, is associated with mortality as high as 80% . Cardiac injury following a fractured rib due to blunt trauma to chest is an extremely rare event and there are
RESEARCH ARTICLE Open Access Non operative management of
Care trauma Centre. Hemodynamically unstable patients with frank signs of exsanguination underwent urgent laparotomy, however, decision in polytrauma remains a challenge . Material and methods This is a ten year (January 2001 to December 2011) retrospective analysis of successful implementation of NOM for blunt abdominal trauma at a
International Journal of Cardiology and Heart Health
6.Türk EE, Tsokos M. Blunt cardiac trauma caused by fatal falls from height: anautopsy-based assessment of the injury pattern. J Trauma 2004; 57(2): 301-304. 7.Diderys H, Strange PS. Rupture of the heart secondary to blunt trau-ma. J Thorac Cardiovasc Surg 1971; 62: 84-86. 8.Utter GH, Scherer LA, Wisner DH. Blunt cardiac rupture in a patient
Blunt traumatic rupture of the atria
Blunt traumatic rupture of the atria The case histories of 2 patients with atrial rupture from blunt chest trauma are presented, one of whom is the tenth survivor. Based on a review of these cases and the literature, important factors in the diagnosis and treatment of this easily repairable anatomic lesion are discussed. The importance of rapid
Post-traumatic ventricular septal defect: a rare indication
Abstract: A ventricular septal defect (VSD) is a rare complication of blunt chest trauma. This report presents the case of a 44-year-old man who developed a VSD as a result of high-energy closed chest trauma. We describe the initial surgical and medical management of the cardiac rupture. After failed repair surgery,
FEATURED CASE REPORT Traumatic aortic and mitral - Heart
valvular injury after blunt chest trauma. Ann Thorac Surg 2000;69:766 8. 5 Pretre R, Chilcott M. Blunt trauma to the heart and great vessels. N Engl J Med 1997;336:626 32. 6 Banning AP, Pillai R. Non-penetrating cardiac and aortic trauma. Heart 1997;78:226 9. 7 Egoh Y, Okoshi T, Anbe J, et al. Surgical treatment of traumatic rupture of the
Successful Repair of Left Ventricular Aneurysm Due to Trauma
penetrating thoracic trauma have been reported with increasing frequency,''' successful surgical re¬ pair of left ventricular aneurysm due to trauma is rare. It is now well recognized that serious com¬ plications and death may result from contusions of the heart.' This case illustrates an unusual etiology for left ventricular aneurysm. The
Tracheal rupture developing after blunt thoracic trauma
dinal and complex [5,6]. In our blunt thoracic trauma case, the tracheal rupture was located 1 - 2 cm distal of the vo- cal cords. Various mechanisms have been suggested for tracheo- bronchial injuries. Hood et al. suggested that sudden chest compression was the most important mechanism. With rapid impact trauma, the antero-posterior diameter
Right Atrium Laceration with Pericardial Tamponade: A Rare
of a 65-year-old man with blunt cardiac trauma, causing right atrial rupture and pericardial tamponade. Successful management of this patient was firstly done with initial pericardiocentesis. Then, the patient was immediately transferred to the operating room for tamponade relief and cardiac wall repair.
CASE REPORT Abstract Format Sample CASE REPORT Abstract
Introduction: Diaphragmatic rupture is a relatively rare injury with a reported incidence of 1 to 7% of all patients following significant blunt trauma.4 In a review of 1589 patients, Asensio et al reported that 75% had left sided injuries, 23% had right-sided injuries, and 2% had bilateral injuries.1 This preponderance for left-sided
CASE REPORT Tension viscerothorax: an important differential
Advanced trauma and life support manual. Chicago: American College of Surgeons, 1997. 2 Shah R, Sabanathan S, Mearns AJ, et al. Traumatic rupture of the diaphragm. Ann Thorac Surg 1995;60:1444 9. 3 Shapiro MJ, Heiberg E, et al. The unreliability of CT scans and initial chest radiographs in evaluating blunt trauma induced diaphragmatic rupture.
M ed ic n :O c y Kleber and Tille Emergency Med 21 :2 A
hemorrhage, the patient died on the 4th day after trauma (Figure 3). Discussion We present a case of massive major vascular trauma and primarily successful resuscitation after traumatic cardiac arrest. This emphasizes the power of new algorithms and modern prehospital trauma management giving even patients with aortic tear a survival chance.
Blunt traumatic bronchial transection in a 28-month-old child
Although the incidence of trauma has risen with the increase in motor vehicle accidents, bronchial rupture due to blunt chest trauma is a rare, but could be life-threatening in children. Bronchial rupture can be dif ﬁ cult to diagnose in children due to its varied clinical signs, and there is often
Long term outcomes of nonoperative treatment of blunt
In 1985, Cywes et al published a paper describing successful nonoperative management of pediatric patients with blunt liver trauma (43). In 1988, Farnell et al suggested that adult patients with blunt liver injuries might also be candidates for nonoperative treatment (44). As has happened with nonoperative management of
Blunt cardiac rupture in a toddler
Cardiac rupture Blunt trauma Toddler abstract Blunt cardiac rupture is typically a fatal injury with overall mortality exceeding 90%. Most of the patients never reach the hospital alive. In pediatric patients, only 0.03% of cases following blunt trauma admis-sions have a cardiac injury.
Management of Blunt Traumatic Aortic Injury
for patients with major injuries. J Trauma. 2001;51:346-351. 2. Richens D, Field M, Neale M, Oakley C. The mechanism of injury in blunt traumatic rupture of the aorta. Eur J Cardiothorac Surg. 2002;21:288-293. 3. Pearson R, Philips N, Hancock R, et al. Regional wall mechanics and blunt traumatic aortic rupture at the isthmus.
Cardiac tamponade associated with delayed ascending aortic
Cardiac tamponade after blunt trauma is rare and usu-ally associated with rupture of cardiac chambers on the relatively weaker right side . Aortic injury causing tamponade after blunt trauma is an even rarer cata-strophic injury that leads to death. Blunt trauma can in-flict injury to the aorta through several mechanisms.
Journal of Pediatric Surgery Case Reports
Blunt trauma ABSTRACT Complete aortic transection is typically fatal and extremely rare in pediatric patients. High clinical suspicion, even in hemodynamically stable patients, is essential for timely recognition and intervention. There is scant literature on the management of complete aortic transection in pediatric patients.
Auricular Rupture in a Fatal Fall A Case Report
Cardiac rupture following blunt trauma to the chest is a relatively uncommon diagnosis, however it is associated with a very high mortality rate. Successful management is based on a high index of suspicion, avoidance of unnecessary diagnostic studies and immediate surgical intervention once the diagnosis is made.
Ruptured right atrial appendage secondary to blunt chest trauma
Right atrial rupture due to blunt chest trauma. South Med J 1984; 77:715-6. 2: Fitzgerald M, Spencer J, Johnson F, et al. Defini-tive management of acute cardiac tamponade sec-ondary to blunt trauma. Emerg Med Australas 2005; 17:494-9. 3: Christie-Large M, Michaelides D, James SLJ. Fo-cused assessment with sonography for trauma: the
Management of Blunt Cardiac Injury
fracture to penetrating injury of the heart or tracheobronchial disruption. In Australia, blunt chest trauma is more common than penetrating trauma and directly comprises 90% of trauma admission 20% to 25% of trauma deaths. Blunt cardiac injury (BCI) is a severe and potentially life threatening complication of chest trauma.
Successful emergency department thoracotomy for traumatic
Cardiac rupture due to blunt chest trauma is seen rarely in the ED, as it is often fatal at the scene. Cardiac arrest prior to hospital presentation portends an extremely poor prog-nosis. Although survival rates of EDT in blunt chest trauma are very low, only 1.4%, EDT can serve as the only life-saving procedure available.
Division of Acute Care Surgery Clinical Practice Policies
o Grade 4 Pseudoaneurysm with rupture All patients with aortic injuries should have active control of blood pressure and heart rate with β blockade to minimize wall shear stress and decrease potential for expansion or rupture3. o Therapeutic targets are SBP < 120, MAP < 80, and pulse < 120.
Traumatic rupture of the infrarenal inferior vena cava
hypovolemic shock following blunt trauma to the right flank. The patient showed a large collection of intraabdominal blood on CT scan and underwent an emergency laparotomy. In addition to complete rupture of the right kidney, a 7cm long rupture of the infrarenal vena cava (IVC) was demonstrated. During surgery, after clamping of the IVC and
Blunt liver trauma: a descriptive analysis from a level I
257 patients with blunt liver trauma, 198 were initially treated conservatively, that was successful in 192 (97%), whereas it failed in 6 (3%) patients due to delayed bleeding from hepatic hematoma, associated splenic rupture and small bowel injury which mandate surgical intervention. Fifty-nine patients (23%) underwent emergent surgery
Journal of Cardiovascular Diseases and Diagnosis
recognition and management of cardiovascular injuries after blunt chest trauma. Heart 75: 301-306. 2. Jahnke EJ Jr, Nelson WP, Aaby GV, FitzGibbon GM (1967) Tricuspid insufficiency. The result of nonpenetrating cardiac trauma. Arch Surg 95: 880-886. 3. Banning AP, Durrani A, Pillai R (1997) Rupture of the atrial septum and
Isolated right atrial rupture from blunt trauma: a case
Keywords: Isolated right atrial rupture, Blunt chest trauma, Cardiac rupture, Blunt cardiac rupture Introduction Isolated right atrial rupture (IRAR) is a rare injury that occurs secondary to blunt chest trauma. Blunt cardiac rupture (BCR) of the right atrium (RA) has a reported incidence between 0.2 0.5% and occurs concomitantly
The effectiveness of hybrid treatment for sever multiple
provides a prompt and appropriate management approach for the treatment of patients with severe multiple trauma and may improve patient outcomes. Keywords: Hybrid treatment, REBOA, Damage control surgery, TEVAR, Interventional radiology Background Time is a crucial factor for successful early trauma man-agement in critical settings.
Case Successful Emergency Repair of Blunt Right Atrial
Blunt chest trauma is common after motor vehicle acci-dents, but survival after blunt cardiac rupture is rare. Car-diac rupture after blunt chest trauma is a relatively un-common diagnosis, and it is associated with a very high mortality. Here we report on the succesful management of a patient with right atrial (RA) rupture following blunt
Cardiac Trauma Chapter 13 Daniel Eiferman, R. Nathan
Blunt cardiac injury (BCI) is a spectrum of traumatic heart diseases with severity that can range from myocardial contusion and EKG changes to septal rupture and death. Earlier in the century, cardiac contusion or concussion were terms used to diagnose cardiac changes from blunt thoracic trauma.
Successful endovascular management of a traumatic aortic
male victim of a blunt trauma who was successfully treated with an endoprosthesis. CASE REPORT An 11-year-old boy, weighting 30 kg, was struck by a motorcycle with a posterior direct trauma and arrived in the emergency room with Glasgow Coma Scale of 9, pulse rate of 120, arterial blood pressure of 110/70 mmHg, and closed left leg fracture.
Case Report Extracorporeal Life Support in a Severe Blunt
in an autopsy study performed on patients with blunt chest trauma [ ]. Nevertheless, in a recent retrospective study focusing on blunt chest trauma, cardiac rupture incidence was found in only / patients, but with a very high mortalityrateof %[ ].Traumaticfree-wallheartrupture management is a di cult medical and surgical challenge.
Successful laparoscopic management of combined traumatic
Successful laparoscopic management of combined traumatic diaphragmatic rupture and abdominal wall hernia: a case report Sze Li Siow1,2*, Chee Ming Wong1,2, Mark Hardin1 and Mushtaq Sohail2 Abstract Background: Traumatic diaphragmatic rupture and traumatic abdominal wall hernia are two well-described but rare
CASE REPORT Abstract Format Sample CASE REPORT Abstract
Introduction: Diaphragmatic rupture is a relatively rare injury with a reported incidence of 1 to 7% of all patients following significant blunt trauma. In a review of 1589 patients, Asensio et al reported that 75% had left-sided injuries, 23% had right-sided injuries, and 2% had bilateral injuries. This preponderance for left-sided