Immediate sonography and intervention in blunt chest trauma: A case report
Cardiac tamponade is a leading cause of death in blunt thoracic trauma. Ultrasound improved the recognition of cardiac tamponade and therefore has a vital role in acute critical situations in the Emergency Department and in the Intensive Care Unit. Besides recognition of cardiac tamponade, treatment...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-10-01
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| Series: | SAGE Open Medical Case Reports |
| Online Access: | https://doi.org/10.1177/2050313X231204195 |
| _version_ | 1797659252523794432 |
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| author | Hans Van der Wal Joost van der Maaten Nasim Azizi Theo Klinkenberg Matijs van Meurs |
| author_facet | Hans Van der Wal Joost van der Maaten Nasim Azizi Theo Klinkenberg Matijs van Meurs |
| author_sort | Hans Van der Wal |
| collection | DOAJ |
| description | Cardiac tamponade is a leading cause of death in blunt thoracic trauma. Ultrasound improved the recognition of cardiac tamponade and therefore has a vital role in acute critical situations in the Emergency Department and in the Intensive Care Unit. Besides recognition of cardiac tamponade, treatment protocols are important. In trauma patients with hemodynamic stable cardiac tamponade, time should be taken for a proper workup for an explorative sternotomy. In hemodynamic unstable trauma patients, the pericardium should be drained, and fluid resuscitation should be performed followed by emergency sternotomy. In this case report we describe a blunt thoracic trauma victim, a 28-year-old male patient without any medical history. He suffered from the unique combination of a tear in the left atrial appendage and a papillary muscle rupture of the right ventricle because of blunt thoracic trauma. Transthoracic echocardiography revealed massive pericardial effusion with diastolic collapse of the right ventricle in our patient. Due to his hemodynamic situation, the patient was brought into the OR for immediate sternotomy and cardiac repair. The patient made a full recovery, was discharged home, and is back to work. This case report emphasizes the relevance of early recognition and treatment of cardiac tamponade in blunt thoracic trauma victims and suggests a multidisciplinary management strategy. |
| first_indexed | 2024-03-11T18:11:14Z |
| format | Article |
| id | doaj.art-724733a217b14d149785d9967dfe7f13 |
| institution | Directory Open Access Journal |
| issn | 2050-313X |
| language | English |
| last_indexed | 2024-03-11T18:11:14Z |
| publishDate | 2023-10-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medical Case Reports |
| spelling | doaj.art-724733a217b14d149785d9967dfe7f132023-10-16T12:33:51ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2023-10-011110.1177/2050313X231204195Immediate sonography and intervention in blunt chest trauma: A case reportHans Van der Wal0Joost van der Maaten1Nasim Azizi2Theo Klinkenberg3Matijs van Meurs4Department of Intensive Care Medicine, University Medical Center Groningen, Groningen, the NetherlandsDepartment of Anesthesiology, University Medical Center Groningen, Groningen, the NetherlandsDepartment of Emergency Medicine, University Medical Center Groningen, Groningen, the NetherlandsDepartment of Cardiothoracic Surgery, University Medical Center Groningen, Groningen, the NetherlandsDepartment of Intensive Care Medicine, University Medical Center Groningen, Groningen, the NetherlandsCardiac tamponade is a leading cause of death in blunt thoracic trauma. Ultrasound improved the recognition of cardiac tamponade and therefore has a vital role in acute critical situations in the Emergency Department and in the Intensive Care Unit. Besides recognition of cardiac tamponade, treatment protocols are important. In trauma patients with hemodynamic stable cardiac tamponade, time should be taken for a proper workup for an explorative sternotomy. In hemodynamic unstable trauma patients, the pericardium should be drained, and fluid resuscitation should be performed followed by emergency sternotomy. In this case report we describe a blunt thoracic trauma victim, a 28-year-old male patient without any medical history. He suffered from the unique combination of a tear in the left atrial appendage and a papillary muscle rupture of the right ventricle because of blunt thoracic trauma. Transthoracic echocardiography revealed massive pericardial effusion with diastolic collapse of the right ventricle in our patient. Due to his hemodynamic situation, the patient was brought into the OR for immediate sternotomy and cardiac repair. The patient made a full recovery, was discharged home, and is back to work. This case report emphasizes the relevance of early recognition and treatment of cardiac tamponade in blunt thoracic trauma victims and suggests a multidisciplinary management strategy.https://doi.org/10.1177/2050313X231204195 |
| spellingShingle | Hans Van der Wal Joost van der Maaten Nasim Azizi Theo Klinkenberg Matijs van Meurs Immediate sonography and intervention in blunt chest trauma: A case report SAGE Open Medical Case Reports |
| title | Immediate sonography and intervention in blunt chest trauma: A case report |
| title_full | Immediate sonography and intervention in blunt chest trauma: A case report |
| title_fullStr | Immediate sonography and intervention in blunt chest trauma: A case report |
| title_full_unstemmed | Immediate sonography and intervention in blunt chest trauma: A case report |
| title_short | Immediate sonography and intervention in blunt chest trauma: A case report |
| title_sort | immediate sonography and intervention in blunt chest trauma a case report |
| url | https://doi.org/10.1177/2050313X231204195 |
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