[Successful repair of right ventricular rupture due to blunt trauma]

Abstract

Successful repair of blunt traumatic rupture of ventricle due to traffic accident is reported. Patient was a 73-year-old woman who was driving and had seated with seatbelts at the traffic accident. Arriving at our hospital, her blood pressure was under 50 mmHg and she had clouding of consciousness, although no brain injury was recognized. No heart beating was visible in X-ray television and pericardial effusion was recognized in the echocardiogram. The diagnosis of acute cardiac tamponade was established within 7 minutes of arrival. The pericardiectomy was performed immediately, then blood pressure was improved to 70 mmHg. The ruptures of right ventricle were repaired without cardiopulmonary bypass via median sternotomy. Post-operative course was without trouble and patient was discharged within 2 weeks.