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Rupture of the right upper pulmonary vein and left atrium caused by blunt chest trauma
Motoo Osaka1, Ryo Nagai2, Tadashi Koishizawa2
1Department of Cardiovascular Surgery, Ibaraki Seinan Medical Center Hospital, 2190 Sakaimachi, Sashima-gun, Ibaraki, 306-0433, Japan. oosakam@yahoo.co.jp.
Abstract:
A 49-year-old man was transferred to our hospital by ambulance due to blunt chest trauma sustained in a car accident. Echocardiography and enhanced computed tomography showed hemopericardium without other vital organ damage. Emergent surgery was performed under strong suspicion of traumatic cardiac rupture. Careful inspection showed a rupture of the right upper pulmonary vein at the junction of the left atrium, a laceration of the inferior vena cava, and a left-side pericardium rupture, and they were repaired with running 4-0 polypropylene suture. Postoperative hemodynamics were stable. The patient was discharged ambulatory on postoperative day 15.
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