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Korean J Thorac Cardiovasc Surg 2007; 40(1): 66-68

Published online January 5, 2007

Copyright © Journal of Chest Surgery.

Right Atrium Rupture as a Result of Blunt Trauma from a Traffic Accident ⁣One case report⁣

Inseok Jang, M.D.*, Jun Young Choi, M.D.*, Sung Hwan Kim, M.D.*, Chung Eun Lee, M.D.*, Jong Woo Kim, M.D.*, Sangho Rhie, M.D.*

Department of Thoracic and Cardiovascular Surgery, Gyeongsang National University Hospital and Institute of Health Science, Gyeongsang National University

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Traumatic cardiac injury is an extremely serious medical condition. It is possible to overlook a cardiac injury where there is no chest wall trauma. We here report the 47-year-old woman who got a crach car accident and had a tear of the right atrium. The distortion force from a decelerating injury may cause cardiac rupture at a fixed point. The most common symptom that alerts the clinician to a potentially fatal cardiac injury is the change in vital signs. Therefore cardiac injury should be considered in any patient with unexplained hypotension who has experienced decelerating trauma, even without external injury to the chest wall. (Korean J Thorac Cardiovasc Surg 2007;40:66-68)

Keywords: 1. Rupture, 2. Cardiac injury, 3. Traffic accidents

Article

Case Report

Korean J Thorac Cardiovasc Surg 2007; 40(1): 66-68

Published online January 5, 2007

Copyright © Journal of Chest Surgery.

Right Atrium Rupture as a Result of Blunt Trauma from a Traffic Accident ⁣One case report⁣

Inseok Jang, M.D.*, Jun Young Choi, M.D.*, Sung Hwan Kim, M.D.*, Chung Eun Lee, M.D.*, Jong Woo Kim, M.D.*, Sangho Rhie, M.D.*

Department of Thoracic and Cardiovascular Surgery, Gyeongsang National University Hospital and Institute of Health Science, Gyeongsang National University

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Traumatic cardiac injury is an extremely serious medical condition. It is possible to overlook a cardiac injury where there is no chest wall trauma. We here report the 47-year-old woman who got a crach car accident and had a tear of the right atrium. The distortion force from a decelerating injury may cause cardiac rupture at a fixed point. The most common symptom that alerts the clinician to a potentially fatal cardiac injury is the change in vital signs. Therefore cardiac injury should be considered in any patient with unexplained hypotension who has experienced decelerating trauma, even without external injury to the chest wall. (Korean J Thorac Cardiovasc Surg 2007;40:66-68)

Keywords: 1. Rupture, 2. Cardiac injury, 3. Traffic accidents

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