Document Detail

Right atrial tear associated with a tumour in the right atrium after blunt chest trauma.
MedLine Citation:
PMID:  17604227     Owner:  NLM     Status:  MEDLINE    
Occult cardiac injury following blunt trauma is more common than generally suspected. Myocardial contusion is not rare, however, it is generally a benign disorder which often remains undiagnosed. We report a case of a right atrial rupture after blunt chest trauma causing a tamponade. A 24-year-old man was involved in a violent car accident and he presented in a state of collapse. A multislice computed tomography indicated a pericardial effusion (Figure 1). A transthoracic echocardiography was performed and confirmed pericardial effusion which was hyperechoic (Figure 2, Movie 1). Concerns about a possible mass in the right atrium led to examination with transesophageal echocardiography (Figure 3, Movie 2) which revealed the presence of a voluminous mass in the right atrium. The patient successfully underwent cardiac surgery to remove the mass, identified as a blood clot, and to repair the atrial tear. The present case is of special interest because of the rarity of documented incidents of blunt chest trauma causing right atrial tear and illustrates the usefulness of transesophageal echocardiography in completing the diagnosis in the event of haemopericardium.
Geraud Souteyrand; Stéphane Combes; Claire Dauphin; Etienne Geoffroy; Pascal Motreff; Hervé Joly; Jean Cassagnes; Jean René Lusson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology     Volume:  9     ISSN:  1532-2114     ISO Abbreviation:  Eur J Echocardiogr     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2008-02-12     Completed Date:  2009-03-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100890618     Medline TA:  Eur J Echocardiogr     Country:  England    
Other Details:
Languages:  eng     Pagination:  116-8     Citation Subset:  IM    
CHU Clermont-Ferrand, service de cardiologie Pr. CASSAGNES, rue Montalembert, 63000 Clermont Ferrand, France.
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MeSH Terms
Accidents, Traffic
Cardiac Tamponade / etiology,  surgery
Echocardiography, Transesophageal
Heart Atria / injuries*
Heart Injuries / etiology,  surgery,  ultrasonography*
Thrombosis / etiology,  surgery,  ultrasonography*
Wounds, Nonpenetrating / complications*
Young Adult

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