| Traumatic right atrial disruption with hepatic and splenic injuries: treatment by CPB-assisted laparotomy and sternotomy. | |
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MedLine Citation:
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PMID: 16845880 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The Authors present a case of thoracoabdominal trauma from a road accident in a young woman who received care initially in a level II hospital. She was then transferred to a level I Trauma Centre with the onset of haemorrhagic shock due to haemopericardium and haemoperitoneum from liver injuries. A chest CT scan led to the suspicion of aortic dissection, hence a cardiopulmonary bypass (CPB) for life support was instituted just before laparotomy through the femoral vessels. Exploration of the peritoneal cavity was performed as a first step because haemoperitoneum was deemed to be the main cause of shock. One litre of blood was aspirated and hepatosplenic tears were sutured to obtain haemostasis. Subsequently, aortic dissection was ruled out by median sternotomy, while a right atrial disruption was identified and repaired by stitches and a pericardial homologous patch. Nevertheless, the ascending aorta was explored by transverse arteriotomy. The postoperative course was uneventful and the woman has never presented cardiac or abdominal symptoms as a result of trauma or surgery. |
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Authors:
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Fabio Colombo; Fabio Sansonna; Claudio Francesco Russo; Giovanni Carlo Ferrari; Stefano De Carli; Stefania Cimbanassi; Carmelo Magistro; Andrea Costanzi; Raffaele Pugliese |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Chirurgia italiana Volume: 58 ISSN: 0009-4773 ISO Abbreviation: Chir Ital Publication Date: 2006 May-Jun |
Date Detail:
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Created Date: 2006-07-18 Completed Date: 2006-10-12 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0151753 Medline TA: Chir Ital Country: Italy |
Other Details:
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Languages: eng Pagination: 397-401 Citation Subset: IM |
Affiliation:
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Department of Surgery - Niguarda Hospital - Milano, Italia. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cardiopulmonary Bypass* Female Heart Atria / injuries*, surgery* Humans Laparotomy* Liver / injuries*, surgery* Multiple Trauma / surgery* Spleen / injuries*, surgery* Sternum / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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