Blunt Cardiac Rupture: A Diagnostic Challenge
Blunt Cardiac Rupture (BCR) is a life threatening injury. Majority of patients do not reach the hospital and in those who reach the emergency department, timely diagnosis and treatment is a challenge. The case is about a patient with multiple blunt injuries who presented in shock. Cardiac tamponad...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2016-11-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/8894/22220_CE(RA1)_F(T)_PF1(AH_RK)_PFA(AK)_PF2(PRO).pdf |
| Summary: | Blunt Cardiac Rupture (BCR) is a life threatening injury. Majority of patients do not reach the hospital and in those who reach the
emergency department, timely diagnosis and treatment is a challenge. The case is about a patient with multiple blunt injuries who
presented in shock. Cardiac tamponade was suspected on clinical grounds and on evidence of mediastinal widening on radiograph. In
the absence of songography, the diagnosis was confirmed by subxiphoid pericardial window. Emergency thoracotomy revealed a right
atrial appendage rupture which was surgically corrected. The patient also underwent splenectomy for grade IV splenic injury. Liver injury,
pubic diastasis and tibial spine avulsion fracture was managed conservatively. He recovered well. Systematic observance of trauma
resuscitation guidelines can help salvage patients with life threatening complex injuries even in the absence of specialized imaging
investigations. |
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| ISSN: | 2249-782X 0973-709X |