| Transdiaphragmatic repositioning of the heart in the setting of emergency laparotomy after blunt trauma. | |
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MedLine Citation:
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PMID: 19857442 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Cardiac luxation after blunt trauma is a rare condition that carries a high mortality rate. We report a case of a left pericardial rupture with partial dislocation of the heart into the left pleural cavity and cardiac strangulation in a polytraumatized patient after a severe motor vehicle accident. This case is of special interest because the patient not only had cardiovascular compromise but was also actually in cardiac arrest and being resuscitated when an emergency repositioning of the heart through the diaphragm in the setting of damage control laparotomy restored circulation. This report stresses the need for a high index of suspicion for accurate early diagnosis of pericardial rupture. |
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Authors:
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Rainer Gumpert; Sylvia Archan; Veronika Matzi; Freyja-Maria Smolle-Jüttner |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The American journal of emergency medicine Volume: 27 ISSN: 1532-8171 ISO Abbreviation: Am J Emerg Med Publication Date: 2009 Oct |
Date Detail:
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Created Date: 2009-10-27 Completed Date: 2009-12-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8309942 Medline TA: Am J Emerg Med Country: United States |
Other Details:
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Languages: eng Pagination: 1024.e1-2 Citation Subset: IM |
Affiliation:
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Department of Trauma Surgery, Medical University of Graz, 8036 Graz, Austria. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Accidents, Traffic Heart Injuries / diagnosis*, surgery* Humans Laparotomy Male Middle Aged Multiple Trauma / surgery Pericardium / injuries*, surgery Rupture / diagnosis, surgery Thoracic Injuries / surgery* Wounds, Nonpenetrating / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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