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Updated: May 2, 2026
28:13
Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
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Blunt traumatic left atrial appendage rupture and cardiac herniation
Nguyen Huu Nhan1, Pham Tho Tuan Anh2, Tran Minh Trung2
1Medical and Health Science Center, University of Debrecen, Hungary.
Asian Cardiovascular & Thoracic Annals
|March 4, 2014
Summary
A man with blunt thoracic trauma underwent urgent surgery for a left atrial appendage tear and pleuropericardial rupture. Successful repair without cardiopulmonary bypass led to full recovery and discharge.
Area of Science:
- Cardiothoracic Surgery
- Trauma Surgery
- Emergency Medicine
Background:
- Blunt thoracic trauma can cause severe cardiac and pericardial injuries.
- Motor vehicle accidents are a common cause of significant blunt force trauma.
- Prompt surgical intervention is critical for managing life-threatening thoracic injuries.
Observation:
- A 42-year-old male presented with injuries from blunt thoracic trauma.
- Operative findings revealed a large hematoma, a 4-cm tear in the left atrial appendage, and a pleuropericardial rupture.
- The rupture extended along the right phrenic nerve.
Findings:
- The left atrial appendage tear was successfully repaired without the need for cardiopulmonary bypass.
- The pleuropericardial defect was primarily closed.
- The patient experienced a full recovery post-surgery.
Implications:
- This case demonstrates the feasibility of repairing left atrial appendage tears without cardiopulmonary bypass in trauma settings.
- Primary closure of pleuropericardial defects is an effective management strategy.
- Early surgical repair can lead to favorable outcomes in patients with complex thoracic trauma.
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