Right atrium traumatic rupture presenting as chronic tamponade

Department of Cardiac Surgery, Hospital de la Santa Creu i Sant Pau, C/Sant Antoni Maria Claret 167, 08025 Barcelona, Spain *Corresponding author. Tel.: +34 620757721. E-mail address : eduardpermanyer{at}gmail.com (E. Permanyer). Non-penetrating cardiac traumatisms can cause cardiac rupture, myocard...

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Published inInteractive cardiovascular and thoracic surgery Vol. 9; no. 4; pp. 748 - 749
Main Authors Permanyer, Eduard, Ginel, Antonino, Munoz-Guijosa, Christian, Padro, Josep Maria
Format Journal Article
LanguageEnglish
Published England Eur Assoc Cardio Surg 01.10.2009
Subjects
Aged
Cardiac Surgical Procedures
Cardiac Tamponade - diagnosis
Cardiac Tamponade - etiology
Cardiac Tamponade - physiopathology
Cardiac Tamponade - surgery
Chronic Disease
Echocardiography, Transesophageal
Female
Heart Atria - injuries
Heart Atria - physiopathology
Heart Failure - etiology
Heart Failure - physiopathology
Heart Injuries - complications
Heart Injuries - diagnosis
Heart Injuries - physiopathology
Heart Injuries - surgery
Hemodynamics
Humans
Pericardial Effusion - diagnosis
Pericardial Effusion - etiology
Pericardial Effusion - physiopathology
Pericardial Effusion - surgery
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
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Summary:Department of Cardiac Surgery, Hospital de la Santa Creu i Sant Pau, C/Sant Antoni Maria Claret 167, 08025 Barcelona, Spain *Corresponding author. Tel.: +34 620757721. E-mail address : eduardpermanyer{at}gmail.com (E. Permanyer). Non-penetrating cardiac traumatisms can cause cardiac rupture, myocardial contusion or, rarely, commotio cordis. In cases of rupture of a cardiac cavity, acute and severe cardiac tamponade almost invariably occurs. This paper presents an exceptionally unusual case of non-penetrating cardiac trauma resulting in right atrium rupture contained by the pericardial cavity. A situation of exceptional hemodynamic balance was established with subacute, progressive cardiac tamponade that evolved during three months, presenting gradual right-heart failure instead of the expected acute and severe cardiac tamponade. The rupture of the atrium was successfully repaired. Key Words: Atrium; Pericardium; Cardiac rupture; Trauma
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ISSN:1569-9293
1569-9285
DOI:10.1510/icvts.2009.211789