Survival following blunt traumatic right ventricular free wall rupture

Cathline J. Layba, Daniel Arango, Lance Griffin, Christopher McQuitty, Patrick Roughneen

Research output: Contribution to journalArticle

Abstract

We present a case of survival after ventricular wall rupture in a young man following a fall. The patient had a delayed presentation to the emergency department with normotension and a slight tachycardia. His complaints were mild dyspnea with thoracic pain. Computed tomography of his chest revealed a pericardial effusion, a right ventricular wall defect with pseudoaneurysm and active contrast extravasation. He was transferred to our tertiary care institution for emergent cardiac intervention. The patient had a unique past surgical history significant for previous median sternotomy as a child for repair of a patent foramen ovale at the age of 13 years. Upon arrival to our facility, the patient underwent surgical exploration, and a transmural defect was identified in the right ventricle. This was repaired on cardiopulmonary bypass, and the patient recovered well. Cardiac injury following blunt thoracic trauma should always be considered when a patient presents with hypotension and tachycardia. Expeditious diagnosis and intervention is required for salvage. We believe our patient’s past surgical history with previous pericardiotomy directly contributed to his survival of a typically lethal injury.

Original languageEnglish (US)
Pages (from-to)68-71
Number of pages4
JournalTrauma (United Kingdom)
Volume20
Issue number1
DOIs
StatePublished - Jan 1 2018

Fingerprint

Heart Rupture
Survival
Tachycardia
Thorax
History
Pericardiectomy
Patent Foramen Ovale
Sternotomy
Pericardial Effusion
False Aneurysm
Wounds and Injuries
Tertiary Healthcare
Chest Pain
Cardiopulmonary Bypass
Dyspnea
Hypotension
Heart Ventricles
Hospital Emergency Service
Rupture
Tomography

Keywords

  • blunt thoracic trauma
  • cardiorrhaphy
  • Ventricular rupture

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine
  • Critical Care and Intensive Care Medicine

Cite this

Survival following blunt traumatic right ventricular free wall rupture. / Layba, Cathline J.; Arango, Daniel; Griffin, Lance; McQuitty, Christopher; Roughneen, Patrick.

In: Trauma (United Kingdom), Vol. 20, No. 1, 01.01.2018, p. 68-71.

Research output: Contribution to journalArticle

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