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Case Reports
. 2012 Oct;45(5):334-7.
doi: 10.5090/kjtcs.2012.45.5.334. Epub 2012 Oct 9.

Application of percutaneous cardiopulmonary support for cardiac tamponade following blunt chest trauma: two case reports

Seon Hee Kim  1 , Seunghwan Song, Yeong Dae Kim, Jeong Su Cho, Chung Won Lee, Jong Geun Lee
Affiliations
Case Reports

Application of percutaneous cardiopulmonary support for cardiac tamponade following blunt chest trauma: two case reports

Seon Hee Kim et al. Korean J Thorac Cardiovasc Surg. 2012 Oct.

Abstract

Since the advent of percutaneous cardiopulmonary support (PCPS), its application has been extended to massively injured patient. Cardiac injury following blunt chest trauma brings out high mortality and morbidity. In our cases, patients had high injury severity score by blunt trauma and presented sudden hemodynamic collapse in emergency room. We quickly detected cardiac tamponade by focused assessment with sonography for trauma and implemented PCPS. As PCPS established, their vital sign restored and then, they were transferred to the operation room (OR) securely. After all injured lesion repaired, PCPS weaned successfully in OR. They were discharged without complication on day 26 and 55, retrospectively.

Keywords: Cardiac rupture; Cardiac tamponade; Extracorporeal circulation; Trauma, blunt; Ultrasonic diagnosis.

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Figures

Fig. 1
Fig. 1
Preoperative chest X-ray showed enlargement of cardiac shadow.
Fig. 2
Fig. 2
Preoperative chest computed tomography scan showed left rib fractures, hemothorax, and blood collection around left side of heart compressing ventricles (arrow). ra, right atrium; la, left atrium; RV, right ventricle; LV, left ventricle; llpv, left lower pulmonary vein; DA, descending aorta.
See this image and copyright information in PMC

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