Article

Blunt cardiac rupture in the setting of previous sternotomy.

Department of Cardiothoracic Surgery, Royal Hobart Hospital, Hobart, Tasmania, Australia. Electronic address: .
The Annals of thoracic surgery (impact factor: 3.74). 05/2012; 94(4):1343-5. DOI:10.1016/j.athoracsur.2012.01.088
Source: PubMed

ABSTRACT Most cases of blunt cardiac rupture (BCR) are associated with mortality at the scene of the injury. For the fortunate 13% to 17% of patients who survive the journey to the hospital, the treatment is definitive surgical repair. In the setting of previous sternotomy, the pericardial adhesions may limit the damage and protect against cardiac tamponade. We describe a patient who sustained 2 right ventricular tears from blunt trauma in a motor vehicle accident 18 years after coronary artery bypass graft surgery. He did not demonstrate hemodynamic compromise and was successfully managed conservatively.

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Keywords

cardiac rupture
 
conservatively
 
fortunate 13%
 
hemodynamic compromise
 
motor vehicle accident 18 years
 
pericardial adhesions
 
previous sternotomy
 
trauma