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Case Reports
. 2020 Jul 30:29:100344.
doi: 10.1016/j.tcr.2020.100344. eCollection 2020 Oct.

A successful off-pump cardiac repair following blunt cardiac rupture - A case report

Awaneesh Katiyar  1 , Ajay Kumar  1 , Neeraj Kumar  1 , Ruby Kataria  1 , Bhaskar Sarkar  1
Affiliations
Case Reports

A successful off-pump cardiac repair following blunt cardiac rupture - A case report

Awaneesh Katiyar et al. Trauma Case Rep. .

Erratum in

Abstract

A 25-year-old male truck driver presented to Emergency Department following unrestrained heavy motor vehicle crash (MVC), when the high-speed truck collided to a wall. He sustained blunt chest trauma from steering wheel and open fracture of right tibia with compartment syndrome. On primary survey, patient was in shock with patent airway. Focused assessment sonography for trauma (FAST) suggested cardiac tamponade for which ultrasound-guided pericardial catheter was placed. After resuscitation patient was taken to the operation theatre. Clam-shell thoracotomy revealed rents in left atrial appendages which were repaired. Fasciotomy of leg was performed and external fixator was applied for open tibia fracture. The patient developed surgical site infection that was treated with local antibiotic and regular dressings. After two weeks, fasciotomy wound was closed with split-skin grafting. At nine-month follow-up, patient was able to resume his occupation as a heavy motor vehicle driver.

Keywords: Atrial rupture; Cardiac repair; Cardiac rupture; Emergency thoracotomy.

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Figures

Fig. 1
Fig. 1
CT image showing sternum fracture that is a sign of severe impact on chest.
Fig. 2
Fig. 2
A: Incision of clamshell thoracotomy. B: Internal view showing right lung (black arrow) with heart after taking control on defect (black star).
Fig. 3
Fig. 3
Showing superficial surgical site infection on POD7.
Fig. 4
Fig. 4
Split skin grafting over fasciotomy wound on 2nd follow-up.
Fig. 5
Fig. 5
After 8 months of follow-up.
See this image and copyright information in PMC

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