Document Detail

Successful emergency repair of blunt right atrial rupture after a traffic accident.
MedLine Citation:
PMID:  12472388     Owner:  NLM     Status:  MEDLINE    
A 53-year-old man crashed his motorcycle into a vehicle and was transported to our hospital by ambulance after about 30 min. Echocardiography revealed cardiac tamponade. Pericardiocentesis was immediately performed using a 5 Fr catheter via the subxiphoid approach and the results suggested cardiac injury. Surgery was commenced via median sternotomy about 2.5 hours after the accident. Patients with cardiac rupture who reach hospital alive can be saved by rapid transport, early detection, and early surgery. In particular, rapid echocardiography and pericardiocentesis via the subxiphoid approach under ultrasonic guidance are easy and helpful methods of making a diagnosis and achieving hemodynamic improvement prior to surgical intervention.
Shinji Hirai; Yoshiharu Hamanaka; Norimasa Mitsui; Mitsuhiro Isaka; Taira Kobayashi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia     Volume:  8     ISSN:  1341-1098     ISO Abbreviation:  Ann Thorac Cardiovasc Surg     Publication Date:  2002 Aug 
Date Detail:
Created Date:  2002-12-10     Completed Date:  2003-01-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9703158     Medline TA:  Ann Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  228-30     Citation Subset:  IM    
Department of Thoracic Surgery, Hiroshima Prefectural Hospital, Hiroshima, Japan.
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MeSH Terms
Accidents, Traffic
Cardiac Tamponade / etiology
Emergency Medical Services
Heart Atria / injuries*
Heart Injuries / surgery*
Middle Aged
Wounds, Nonpenetrating / surgery*

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