Ulus Travma Acil Cerrahi Derg. 2015; 21(6): 527-530 | DOI: 10.5505/tjtes.2015.12574

Künt kardiyak yaralanma: Tamir edilebilir travmatik sað atriyal yaralanma olgusu

Muna Al Ayyan, Tanim Aziz, Amgad El Sherif, Omar Bekdache
Tawam Hastanesi-(johns Hopkins)- Cerrahi Kliniði, Al Ain, Birleþik Arap Emirlikleri

Künt travma sonrasý kardiyak rüptür insidansý nadirdir ve tüm künt travma hastalarýnýn %0.3 ile 0.5’inde görülür. Bu travma olay yerinde ölümcül olabilir ve sýk olarak acil servis ortamýnda taný atlanabilir. Kardiyak travma þiddeti maruz kalýnan kuvvettin þiddeti ve mekanizmasýna baðlý olarak deðiþir. Burada hipovolemik þok belirtileri ile acil servise baþvuran, motorlu araç çarpýþmasýna karýþmýþ, 32 yaþýndaki erkek olguyu sunmaktayýz. Hastanýn göðüs travmasýna baðlý acil müdahele gerektiren hemotoraksý olduðu tespit edildi. Hastaya sað atriyal yaralanmayý ortaya çýkaran acil torakotomi yapýldý. Atriyal yaralanma tamiri hastanýn þok durumunundan kurtulmasýna yardýmcý olmuþtur. Hasta 35 gün sonra iyi durumda hastaneden taburcu edilmiþtir.

Anahtar Kelimeler: Künt kardiyak yaralanma, non-penetran kalp yaralanmalarý; travmatik atriyal rüptür.

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Blunt cardiac injury: case report of salvaged traumatic right atrial rupture

Muna Al Ayyan, Tanim Aziz, Amgad El Sherif, Omar Bekdache
Department Of Surgery, Tawam Hospital – Johns Hopkins Affiliate - Al Ain, United Arab Emirates

The incidence of cardiac rupture following blunt trauma is rare, occurring in 0.3%–0.5% of all blunt trauma patients. It can be fatal at the trauma scene, and is frequently missed in the emergency room setting. The severity of a cardiac trauma is based on the mechanism and degree of the force applied. The objective of this study was to report the case of a 32-year-old male patient who was involved in a motor vehicle collision and presented to the emergency room with signs of hypovolemic shock. The patient was found to have severe chest trauma associated with massive hemothorax requiring immediate intervention. The patient had an emergent thoracotomy revealing a right atrial injury. Repair of the atrial injury reversed the state of shock. The patient was discharged after 35 days of hospitalization in good condition.

Keywords: Blunt cardiac injury (BCI), non-penetrating cardiac injuries; traumatic atrial rupture.

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