Pericardial rupture leading to cardiac herniation after blunt trauma.

Autor:	Guenther T; Department of Surgery, University of California Davis, 2315 Stockton Blvd, Sacramento, CA 95817, United States of America.; Department of Cardiothoracic Surgery, David Grant USAF Medical Center, 101 Bodin Circle, Travis AFB, CA 95433, United States of America., Rinderknecht T; Department of Surgery, University of California Davis, 2315 Stockton Blvd, Sacramento, CA 95817, United States of America., Phan H; Department of Surgery, University of California Davis, 2315 Stockton Blvd, Sacramento, CA 95817, United States of America., Wozniak C; Department of Cardiothoracic Surgery, David Grant USAF Medical Center, 101 Bodin Circle, Travis AFB, CA 95433, United States of America., Rodriquez V; Department of Surgery, University of California Davis, 2315 Stockton Blvd, Sacramento, CA 95817, United States of America.
Jazyk:	angličtina
Zdroj:	Trauma case reports [Trauma Case Rep] 2020 May 11; Vol. 27, pp. 100309. Date of Electronic Publication: 2020 May 11 (Print Publication: 2020).
DOI:	10.1016/j.tcr.2020.100309
Abstrakt:	Pericardial rupture with cardiac herniation is a rare traumatic injury with an estimated incidence of 0.37% after blunt trauma. Most commonly occurring after high-speed impact, such as in motor vehicle or motorcycle collisions, pericardial rupture is associated with a high mortality rate. Radiologic diagnosis can be challenging; cross-sectional imaging findings can be suggestive of pericardial rupture but are often non-specific, and echocardiography windows are often obscured. Definitive diagnosis is generally made intra-operatively. Treatment involves reduction of the heart into normal anatomic position with repair of the pericardium, either primarily or with a patch. Fewer than 60 cases of pericardial rupture from blunt trauma have been reported in the literature. We describe a 65 year old poly-trauma patient who sustained pericardial rupture with subsequent cardiac herniation with cardiovascular collapse, and we discuss the considerations and complexities of his successful repair. Competing Interests: The views expressed in this manuscript are solely of the authors and do not reflect the views of the United States Air Force or the Department of Defense. (© 2020 The Author(s).)
Databáze:	MEDLINE
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