Penetrating Chest trauma with right atrium rupture - A case report
Background: Penetrating chest trauma can have lethal consequences. Anterior chest wall penetrating injury can cause fatal lacerations over the chest wall, lungs, pericardium, and the heart. There are few reports on these kinds of injuries and operative management. Purpose: To describe a case of pene...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-02-01
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| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644023000067 |
| _version_ | 1811168386635268096 |
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| author | Bijay Sah Ashok Pant Lokesh Shekher Jaiswal Rakesh Kumar Gupta |
| author_facet | Bijay Sah Ashok Pant Lokesh Shekher Jaiswal Rakesh Kumar Gupta |
| author_sort | Bijay Sah |
| collection | DOAJ |
| description | Background: Penetrating chest trauma can have lethal consequences. Anterior chest wall penetrating injury can cause fatal lacerations over the chest wall, lungs, pericardium, and the heart. There are few reports on these kinds of injuries and operative management. Purpose: To describe a case of penetrating chest trauma with right atrium ruptured, after a fall from height. The patient was successfully managed with prompt resuscitation and definitive surgical intervention. Case presentation: A 48-years-old gentleman presented with history of fall from height and right sided penetrating chest injury. The patient had a penetrating injury to the right-fourth intercostal space in parasternal region. Chest X-ray showed massive right-sided hemothorax and chest tube drained more than 1700 ml upon insertion. Emergency right thoracotomy was performed, after initial resuscitation with fluids and blood transfusion in the emergency department. He had injury to the intercostal arteries, lacerations of the pericardium and the right atrium ruptured, which was managed successfully with definitive repair. Conclusion: Survival is rare after penetrating chest trauma with right atrium ruptured if not intervened on time. Prompt diagnosis and resuscitation, along with the definitive surgical repair were the key elements for successful management of the patients. |
| first_indexed | 2024-04-10T16:26:31Z |
| format | Article |
| id | doaj.art-1cee5a6500d7454bb30bd51de8ff765f |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-04-10T16:26:31Z |
| publishDate | 2023-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-1cee5a6500d7454bb30bd51de8ff765f2023-02-09T04:14:16ZengElsevierTrauma Case Reports2352-64402023-02-0143100758Penetrating Chest trauma with right atrium rupture - A case reportBijay Sah0Ashok Pant1Lokesh Shekher Jaiswal2Rakesh Kumar Gupta3Corresponding author.; Department of Cardiothoracic and Vascular Surgery, B.P. Koirala Institute of Health Sciences, Dharan, NepalDepartment of Cardiothoracic and Vascular Surgery, B.P. Koirala Institute of Health Sciences, Dharan, NepalDepartment of Cardiothoracic and Vascular Surgery, B.P. Koirala Institute of Health Sciences, Dharan, NepalDepartment of Cardiothoracic and Vascular Surgery, B.P. Koirala Institute of Health Sciences, Dharan, NepalBackground: Penetrating chest trauma can have lethal consequences. Anterior chest wall penetrating injury can cause fatal lacerations over the chest wall, lungs, pericardium, and the heart. There are few reports on these kinds of injuries and operative management. Purpose: To describe a case of penetrating chest trauma with right atrium ruptured, after a fall from height. The patient was successfully managed with prompt resuscitation and definitive surgical intervention. Case presentation: A 48-years-old gentleman presented with history of fall from height and right sided penetrating chest injury. The patient had a penetrating injury to the right-fourth intercostal space in parasternal region. Chest X-ray showed massive right-sided hemothorax and chest tube drained more than 1700 ml upon insertion. Emergency right thoracotomy was performed, after initial resuscitation with fluids and blood transfusion in the emergency department. He had injury to the intercostal arteries, lacerations of the pericardium and the right atrium ruptured, which was managed successfully with definitive repair. Conclusion: Survival is rare after penetrating chest trauma with right atrium ruptured if not intervened on time. Prompt diagnosis and resuscitation, along with the definitive surgical repair were the key elements for successful management of the patients.http://www.sciencedirect.com/science/article/pii/S2352644023000067HemothoraxPenetrating chest traumaPericardium lacerationRight atrium rupturedIntercostal artery injury |
| spellingShingle | Bijay Sah Ashok Pant Lokesh Shekher Jaiswal Rakesh Kumar Gupta Penetrating Chest trauma with right atrium rupture - A case report Trauma Case Reports Hemothorax Penetrating chest trauma Pericardium laceration Right atrium ruptured Intercostal artery injury |
| title | Penetrating Chest trauma with right atrium rupture - A case report |
| title_full | Penetrating Chest trauma with right atrium rupture - A case report |
| title_fullStr | Penetrating Chest trauma with right atrium rupture - A case report |
| title_full_unstemmed | Penetrating Chest trauma with right atrium rupture - A case report |
| title_short | Penetrating Chest trauma with right atrium rupture - A case report |
| title_sort | penetrating chest trauma with right atrium rupture a case report |
| topic | Hemothorax Penetrating chest trauma Pericardium laceration Right atrium ruptured Intercostal artery injury |
| url | http://www.sciencedirect.com/science/article/pii/S2352644023000067 |
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