Traumatic rupture of the coronary sinus following blunt chest trauma: a case report

被引:8
作者
Kim, Do Wan [1 ]
Lee, Kyo Seon [1 ]
Na, Kook Joo [1 ]
Oh, Sang Gi [1 ]
Jung, Yong Hun [2 ]
Jeong, In Seok [1 ]
机构
[1] Chonnam Natl Univ, Sch Med, Chonnam Natl Univ Hosp, Dept Thorac & Cardiovasc Surg, Kwangju 501757, South Korea
[2] Chonnam Natl Univ, Sch Med, Chonnam Natl Univ Hosp, Dept Emergency Med, Kwangju 501757, South Korea
关键词
Blunt trauma; Cardiac rupture; Coronary sinus; Extracorporeal membrane oxygenation; INJURY;
D O I
10.1186/s13019-014-0164-y
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Cardiac rupture is rare but potentially life-threatening complication after chest trauma. We present the case of a 57-year-old male who developed cardiac arrest because of extensive pericardial tamponade after a falling injury. We decided to perform an exploratory sternotomy in the operating room (OR). The patient was transported to the OR on extracorporeal membrane oxygenation (ECMO) support. We found a rupture of the coronary sinus after evacuation of an extensive hematoma in the pericardium and primarily repaired the injured site. After 2 days, the patient died due to refractory cardiogenic shock. To our knowledge, this is the first reported case of rupture of the coronary sinus after blunt chest trauma.
引用
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页数:3
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