Document Detail


Blunt cardiac rupture with prehospital pulseless electrical activity: a rare successful experience.
MedLine Citation:
PMID:  16394928     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Blunt cardiac rupture is highly associated with mortality. In the recent literature, the reported mortality rates of cardiac rupture ranged from 59.7% to 100%. The probability of survival for those with prehospital pulseless electrical activity was extremely low. This case report describes a rare example of survival of a female patient with life-threatening cardiac rupture and cardiac tamponade after a major car accident. The victim developed pulseless electrical activity at admission. She recovered from the accident, however, without developing any signs of neurologic deficits. This case study emphasizes the value of the primary survey of patients and prompt and accurate interventions, including focused abdominal sonography for trauma, pericardiocentesis, and an urgent thoracotomy in the operating room for primary repair of cardiac rupture without applying a cardiopulmonary bypass system. The study showed that early diagnosis and aggressive interventions are crucial factors to the successful outcome of patient's survival.
Authors:
Li-Hua Lu; Wai-Mau Choi; Hsueh-Ru Wu; Hung-Chang Liu; Wen-Ta Chiu; Shin-Han Tsai
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of trauma     Volume:  59     ISSN:  0022-5282     ISO Abbreviation:  J Trauma     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2006-01-05     Completed Date:  2006-02-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1489-91     Citation Subset:  AIM; IM    
Affiliation:
Department of Emergency Medicine, Mackay Memorial Hospital, Mackay Junior College of Nursing, Taipei, Taiwan, Republic of China.
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Heart Injuries / complications,  surgery*,  ultrasonography*
Humans
Pericardiocentesis
Pulse
Tachycardia, Sinus / etiology
Thoracotomy
Wounds, Nonpenetrating / complications,  surgery*,  ultrasonography*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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