Coronary artery bypass surgery in undiagnosed traumatic pericardial rupture--25 years later
Pallav J Shah1, Brian F Buxton, Siven Seevanayagam
1Department of Cardiac Surgery, Austin Hospital, Studley Road, Austin Hospital, Melbourne, Heidelberg, Vic. 3084, Australia.
Abstract:
A 55-year-old man was electively admitted for coronary artery bypass surgery. His admission chest X-ray showed an abnormal cardiac silhouette with complete leftward displacement. He had a past history of blunt thoracic trauma due to a motor vehicle accident treated conservatively. We present our findings and surgical difficulty during an operation on a patient with a previously undiagnosed pericardial rupture. This is the first reported case of its kind in the cardiac surgical literature.
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