Journal of Cardio-Thoracic Medicine

Journal of Cardio-Thoracic Medicine

Right Atrium Laceration with Pericardial Tamponade: A Rare Presentation of Blunt Cardiac Trauma

Document Type : Case Report

Authors
Hamid Hoseinikhah 1
Behzad Alizadeh 2
Alireza Sepehri Shamloo 3
Narges Imani 4
Asadollah Sharifian 5
Aliasghar Moeinipour 6
1 Cardiac Surgeon, Cardiac Surgery Department of Cardiac Surgery, Atherosclerosis Prevention Research Center, Imam Reza Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
2 pediatric cardiologist, Imam Reza Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
3 Medical Student,Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.
4 Nursing of cardiac operation room , Imam Reza Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
5 Head nursing of cardiac operation room , Imam Reza Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
6 Cardiac Surgeon, Atherosclerosis Prevention Research Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
10.22038/jctm.2015.5849
Abstract
Cardiac laceration from blunt thoracic trauma is not a common presentation. The rate of mortality due to this injury is very high since it is not diagnosed and treated immediately. In this study, we present the case 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. We recommend that cardiac surgeon have  an important suspicious for cardiac involvement in Blunt chest wall trauma
Keywords
Cardiac Trauma
Laceration
Tamponade
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Journal of Cardio-Thoracic Medicine
Volume 3, Issue 4 - Serial Number 4
Autumn 2015
Pages 384-386