Document Detail

Transdiaphragmatic repositioning of the heart in the setting of emergency laparotomy after blunt trauma.
MedLine Citation:
PMID:  19857442     Owner:  NLM     Status:  MEDLINE    
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.
Rainer Gumpert; Sylvia Archan; Veronika Matzi; Freyja-Maria Smolle-Jüttner
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of emergency medicine     Volume:  27     ISSN:  1532-8171     ISO Abbreviation:  Am J Emerg Med     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-10-27     Completed Date:  2009-12-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309942     Medline TA:  Am J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1024.e1-2     Citation Subset:  IM    
Department of Trauma Surgery, Medical University of Graz, 8036 Graz, Austria.
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MeSH Terms
Accidents, Traffic
Heart Injuries / diagnosis*,  surgery*
Middle Aged
Multiple Trauma / surgery
Pericardium / injuries*,  surgery
Rupture / diagnosis,  surgery
Thoracic Injuries / surgery*
Wounds, Nonpenetrating / surgery*

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