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Interact Cardiovasc Thorac Surg · Oct 2009
Case ReportsRight atrium traumatic rupture presenting as chronic tamponade.
- Eduard Permanyer, Antonino Ginel, Christian Muñoz-Guijosa, and Josep Maria Padró.
- Department of Cardiac Surgery, Hospital de la Santa Creu i Sant Pau, C/Sant Antoni Maria Claret 167, 08025 Barcelona, Spain. eduardpermanyer@gmail.com
- Interact Cardiovasc Thorac Surg. 2009 Oct 1;9(4):748-9.
AbstractNon-penetrating cardiac traumatisms can cause cardiac rupture, myocardial contusion or, rarely, commotio cordis. In cases of rupture of a cardiac cavity, acute and severe cardiac tamponade almost invariably occurs. This paper presents an exceptionally unusual case of non-penetrating cardiac trauma resulting in right atrium rupture contained by the pericardial cavity. A situation of exceptional hemodynamic balance was established with subacute, progressive cardiac tamponade that evolved during three months, presenting gradual right-heart failure instead of the expected acute and severe cardiac tamponade. The rupture of the atrium was successfully repaired.
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