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

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, p...

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Detalles Bibliográficos
Autores principales: Katiyar, Awaneesh, Kumar, Ajay, Kumar, Neeraj, Kataria, Ruby, Sarkar, Bhaskar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7451814/
https://www.ncbi.nlm.nih.gov/pubmed/32875048
http://dx.doi.org/10.1016/j.tcr.2020.100344
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author Katiyar, Awaneesh
Kumar, Ajay
Kumar, Neeraj
Kataria, Ruby
Sarkar, Bhaskar
author_facet Katiyar, Awaneesh
Kumar, Ajay
Kumar, Neeraj
Kataria, Ruby
Sarkar, Bhaskar
author_sort Katiyar, Awaneesh
collection PubMed
description 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.
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spelling pubmed-74518142020-08-31 A successful off-pump cardiac repair following blunt cardiac rupture – A case report Katiyar, Awaneesh Kumar, Ajay Kumar, Neeraj Kataria, Ruby Sarkar, Bhaskar Trauma Case Rep Case Report 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. Elsevier 2020-07-30 /pmc/articles/PMC7451814/ /pubmed/32875048 http://dx.doi.org/10.1016/j.tcr.2020.100344 Text en © 2020 Published by Elsevier Ltd. 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 Case Report
Katiyar, Awaneesh
Kumar, Ajay
Kumar, Neeraj
Kataria, Ruby
Sarkar, Bhaskar
A successful off-pump cardiac repair following blunt cardiac rupture – A case report
title A successful off-pump cardiac repair following blunt cardiac rupture – A case report
title_full A successful off-pump cardiac repair following blunt cardiac rupture – A case report
title_fullStr A successful off-pump cardiac repair following blunt cardiac rupture – A case report
title_full_unstemmed A successful off-pump cardiac repair following blunt cardiac rupture – A case report
title_short A successful off-pump cardiac repair following blunt cardiac rupture – A case report
title_sort successful off-pump cardiac repair following blunt cardiac rupture – a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7451814/
https://www.ncbi.nlm.nih.gov/pubmed/32875048
http://dx.doi.org/10.1016/j.tcr.2020.100344
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