Surviving Right Atrial Rupture From Blunt Thoracic Trauma After Pericardiectomy

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• 作者：Sepehr Seyed Lajevardi ; MBBS^a ; ^{sepehrlaj@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Keyvan Karimi Galougahi ; MD ; PhD^b ; George Nova ; MBBS ; MCh^c ; David Marshman ; MBBS^a
• 刊名：The Annals of Thoracic Surgery
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：101
• 期：2
• 页码：749-752
• 全文大小：1302 K

文摘

Right atrial rupture secondary to blunt trauma is exceedingly rare. We present a case report of blunt chest trauma and right atrial rupture in a patient with a background of pericardiectomy that were successfully managed surgically. Right atrial rupture must be considered as a differential diagnosis in patients with blunt chest trauma. In patients with previous pericardiectomy, this injury may manifest with massive hemothorax, and insertion of a chest drain should be performed with extreme caution. In our experience, urgent exploratory thoracotomy and repair of the defect are the mainstays of acute management.