Unexpected traumatic rupture of left atrium mimicking aortic rupture
Left atrial (LA) rupture is rare following blunt chest injury. We describe a case of blunt LA rupture that was treated surgically. This report is intended to alert practitioners for a need of a close multiple disciplinary collaborations among them for optimal management of patients with this type of...
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Published in | Journal of emergencies, trauma and shock Vol. 7; no. 4; pp. 310 - 312 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
India
Medknow Publications and Media Pvt. Ltd
01.10.2014
Medknow Publications & Media Pvt. Ltd Medknow Publications & Media Pvt Ltd Wolters Kluwer Medknow Publications |
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Abstract | Left atrial (LA) rupture is rare following blunt chest injury. We describe a case of blunt LA rupture that was treated surgically. This report is intended to alert practitioners for a need of a close multiple disciplinary collaborations among them for optimal management of patients with this type of trauma; because other non-cardiac injuries involving the head, abdomen, or extremities are considered covariates for in-hospital mortality. As in the present case, the patient eventually died from associated extrathoracic injuries. The diagnosis of LA rupture is by exclusion. However, the initial radiological reading may be misinterpreted, because this injury can easily be mistaking for an aortic rupture. The final reappraisal of the chest imaging studies should be interpreted by a skilled radiologist to avoid misdiagnosis. Subtle radiological features can help distinguish aortic thoracic injury as illustrated in this patient. These factors may be useful to the practicing surgeon in deciding surgical approach. |
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AbstractList | Left atrial (LA) rupture is rare following blunt chest injury. We describe a case of blunt LA rupture that was treated surgically. This report is intended to alert practitioners for a need of a close multiple disciplinary collaborations among them for optimal management of patients with this type of trauma; because other non-cardiac injuries involving the head, abdomen, or extremities are considered covariates for in-hospital mortality. As in the present case, the patient eventually died from associated extrathoracic injuries. The diagnosis of LA rupture is by exclusion. However, the initial radiological reading may be misinterpreted, because this injury can easily be mistaking for an aortic rupture. The final reappraisal of the chest imaging studies should be interpreted by a skilled radiologist to avoid misdiagnosis. Subtle radiological features can help distinguish aortic thoracic injury as illustrated in this patient. These factors may be useful to the practicing surgeon in deciding surgical approach. |
Audience | Academic |
Author | Alameddine, Abdallah K Rousou, John A Alvarez, Carlos Alimov, Victor K |
AuthorAffiliation | Division of Cardiac Surgery, Baystate Medical Center, Springfield and Tufts School of Medicine, Boston, Massachusetts, USA |
AuthorAffiliation_xml | – name: Division of Cardiac Surgery, Baystate Medical Center, Springfield and Tufts School of Medicine, Boston, Massachusetts, USA |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25400394$$D View this record in MEDLINE/PubMed |
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Copyright | COPYRIGHT 2014 Medknow Publications and Media Pvt. Ltd. Copyright Medknow Publications & Media Pvt Ltd Oct-Dec 2014 Copyright: © Journal of Emergencies, Trauma, and Shock 2014 |
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Keywords | left atrial rupture mediastinal hematoma Aortic rupture blunt trauma |
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References | Teixeira (key-10.4103/0974-2700.142767-1) 2009 Kohn (key-10.4103/0974-2700.142767-2) 1954 Namai (key-10.4103/0974-2700.142767-4) 2007 Krasna (key-10.4103/0974-2700.142767-3) 1992 |
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Snippet | Left atrial (LA) rupture is rare following blunt chest injury. We describe a case of blunt LA rupture that was treated surgically. This report is intended to... |
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SubjectTerms | Aortic rupture Blood pressure blunt trauma Case Report Case studies Chest Emergency medicine Hemorrhage Injuries left atrial rupture mediastinal hematoma Ostomy Trauma |
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Title | Unexpected traumatic rupture of left atrium mimicking aortic rupture |
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