Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020 Nov 3:30:100373.
doi: 10.1016/j.tcr.2020.100373. eCollection 2020 Dec.

Traumatic right atrial rupture bridge to definitive repair with extra-corporeal life support

J M Brewer  1 , A Tran  1 , M I Ali  1 , D Fusco  2 , J Portereiko  3 , S W Hashim  2 , D Underhill  2 , J D Gates  3 , J Gluck  4
Affiliations
Case Reports

Traumatic right atrial rupture bridge to definitive repair with extra-corporeal life support

J M Brewer et al. Trauma Case Rep. .

Erratum in

Abstract

Cardiac injury secondary to non-penetrating trauma is more common than thought, albeit, the injury is usually minor and goes undiagnosed without significant sequelae in most cases. Blunt cardiac rupture is much rarer accounting for <0.05% of all trauma cases but lethal in most circumstances. We present a case report of a young trauma victim who presented with both right atrial rupture and traumatic atrial septal disruption (ASD) requiring extra-corporeal life support (ECLS) and surgical repair. Blunt cardiac trauma with chamber rupture and septal disruption is a devastating injury. Stopping the hemorrhage and using ECLS gave our patient time to stabilize before definitive management of her traumatic ASD.

Keywords: Blunt traumatic cardiac injury; Extra-corporeal life support; Trauma atrial rupture repair.

PubMed Disclaimer

Conflict of interest statement

No author has any financial disclosures and no authors have any conflicts of interest.

Figures

Fig. 1
Fig. 1
ECHO images of traumatic ASD. ECHO imagining demonstrating ASD rupture. Left image is from initial presentation, image on right is intraoperatively before repair.
Fig. 2
Fig. 2
ECHO Images of repaired ASD. ECHO imagining demonstrating the repaired ASD.
See this image and copyright information in PMC

References

    1. Teixeira P.G., Inaba K., Oncel D., DuBose J., Chan L., Rhee P. Blunt cardiac rupture: a 5-year NTDB analysis. J. Trauma. 2009;67(4):788–791. - PubMed
    1. Shorr R.M., Crittenden M., Indeck M., Hartunian S.L., Rodriguez A. Blunt thoracic trauma. Analysis of 515 patients. Ann. Surg. 1987;206(2):200–205. - PMC - PubMed
    1. Brathwaite C.E., Rodriguez A., Turney S.Z., Dunham C.M., Cowley R. Blunt traumatic cardiac rupture. A 5-year experience. Ann. Surg. 1990;212(6):701–704. - PMC - PubMed
    1. Tran A., Campbell J.D., Misra M.V., Hu Y.Y., Banasiak K., Schlott H. Surviving 49 days on extracorporeal life support complicated by lung necrosis, pneumothorax, intrathoracic hematoma, and bronchopleural fistulas in a 13-year-old. J Pediatr Surg Case Rep. 2018;36:28–32.
    1. Chen L., Chen K., Ni H., Hong Y., Qian X., Pan K. Veno-arterial ECMO in the setting of post-infarct ventricular septal defect: a bridge to surgical repair. Heart, Lung & Circulation. 2018;27(6):771–772. - PubMed

Publication types

LinkOut - more resources