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Surviving Right Atrial Rupture From Blunt Thoracic Trauma After Pericardiectomy
Sepehr Seyed Lajevardi1, Keyvan Karimi Galougahi2, George Nova3
1Department of Cardiothoracic Surgery, Royal North Shore Hospital, Sydney, New South Wales, Australia.
Abstract:
Right atrial rupture secondary to blunt trauma is exceedingly rare. We present a case report of blunt chest trauma and right atrial rupture in a patient with a background of pericardiectomy that were successfully managed surgically. Right atrial rupture must be considered as a differential diagnosis in patients with blunt chest trauma. In patients with previous pericardiectomy, this injury may manifest with massive hemothorax, and insertion of a chest drain should be performed with extreme caution. In our experience, urgent exploratory thoracotomy and repair of the defect are the mainstays of acute management.
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