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Isolated right atrial appendage rupture following blunt chest trauma
BACKGROUND: Right sided tears or rupture are the most common injury to the heart after blunt chest trauma. The majority of these injuries are to the thin walled atrium. Reports of localized right atrial appendage rupture are rare. The classical features of Beck's triad are unreliable in the tra...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5887111/ https://www.ncbi.nlm.nih.gov/pubmed/29644294 http://dx.doi.org/10.1016/j.tcr.2017.11.004 |
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author | Hegde, Rakesh Lafayette, Nathan Sywak, Michael Ricketts, Gregory Otero, Jorge Kurtzman, Scott Zhang, Zhongqiu |
author_facet | Hegde, Rakesh Lafayette, Nathan Sywak, Michael Ricketts, Gregory Otero, Jorge Kurtzman, Scott Zhang, Zhongqiu |
author_sort | Hegde, Rakesh |
collection | PubMed |
description | BACKGROUND: Right sided tears or rupture are the most common injury to the heart after blunt chest trauma. The majority of these injuries are to the thin walled atrium. Reports of localized right atrial appendage rupture are rare. The classical features of Beck's triad are unreliable in the trauma bay. With the advent of EFAST (Focused assessment with sonography for trauma extended to thorax), Beck's triad should be considered but not used as the primary clinical tool for diagnosis of cardiac tamponade [1]. EFAST aids in rapid diagnosis and definitive care [3]. CASE PRESENTATION: Our patient was a 17 year old male who presented with hypotension after a rollover motor vehicle accident. He presented with a grossly negative physical exam and positive EFAST for pericardial effusion with tamponade physiology. We performed an emergency pericardiocentesis and expedited transportation for operative exploration. A Right atrial appendage injury was identified and repaired and patient recovered uneventfully. CONCLUSION: EFAST examination aids in rapid diagnosis of cardiac tamponade in the trauma setting. Pericardiocentesis facilitates temporizing the hemodynamics in preparation for operative exploration. |
format | Online Article Text |
id | pubmed-5887111 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-58871112018-04-11 Isolated right atrial appendage rupture following blunt chest trauma Hegde, Rakesh Lafayette, Nathan Sywak, Michael Ricketts, Gregory Otero, Jorge Kurtzman, Scott Zhang, Zhongqiu Trauma Case Rep Article BACKGROUND: Right sided tears or rupture are the most common injury to the heart after blunt chest trauma. The majority of these injuries are to the thin walled atrium. Reports of localized right atrial appendage rupture are rare. The classical features of Beck's triad are unreliable in the trauma bay. With the advent of EFAST (Focused assessment with sonography for trauma extended to thorax), Beck's triad should be considered but not used as the primary clinical tool for diagnosis of cardiac tamponade [1]. EFAST aids in rapid diagnosis and definitive care [3]. CASE PRESENTATION: Our patient was a 17 year old male who presented with hypotension after a rollover motor vehicle accident. He presented with a grossly negative physical exam and positive EFAST for pericardial effusion with tamponade physiology. We performed an emergency pericardiocentesis and expedited transportation for operative exploration. A Right atrial appendage injury was identified and repaired and patient recovered uneventfully. CONCLUSION: EFAST examination aids in rapid diagnosis of cardiac tamponade in the trauma setting. Pericardiocentesis facilitates temporizing the hemodynamics in preparation for operative exploration. Elsevier 2017-12-06 /pmc/articles/PMC5887111/ /pubmed/29644294 http://dx.doi.org/10.1016/j.tcr.2017.11.004 Text en © 2017 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Article Hegde, Rakesh Lafayette, Nathan Sywak, Michael Ricketts, Gregory Otero, Jorge Kurtzman, Scott Zhang, Zhongqiu Isolated right atrial appendage rupture following blunt chest trauma |
title | Isolated right atrial appendage rupture following blunt chest trauma |
title_full | Isolated right atrial appendage rupture following blunt chest trauma |
title_fullStr | Isolated right atrial appendage rupture following blunt chest trauma |
title_full_unstemmed | Isolated right atrial appendage rupture following blunt chest trauma |
title_short | Isolated right atrial appendage rupture following blunt chest trauma |
title_sort | isolated right atrial appendage rupture following blunt chest trauma |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5887111/ https://www.ncbi.nlm.nih.gov/pubmed/29644294 http://dx.doi.org/10.1016/j.tcr.2017.11.004 |
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