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Left ventricular rupture following external chest compression

E Fosse1, H Lindberg

  • 1Department of Surgery, A, Rikshospitalet, Oslo, Norway.

Acta Anaesthesiologica Scandinavica
|April 1, 1996
PubMed
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A woman experienced cardiac arrest and traumatic cardiac rupture during a legal dispute. Prompt resuscitation and surgical repair led to recovery without neurological deficits, highlighting potential benefits of precordial thump.

Area of Science:

  • Emergency Medicine
  • Cardiology
  • Trauma Surgery

Background:

  • Sudden cardiac arrest can occur in stressful situations.
  • Traumatic cardiac rupture is a rare but life-threatening complication.

Observation:

  • A 62-year-old woman presented with acute cardiac arrest during a court dispute.
  • Intrathoracic bleeding and cardiac rupture were identified post-resuscitation.
  • Myocardial infarction was ruled out as the cause.

Findings:

  • Successful surgical repair of left ventricle rupture and pericardial tear was performed.
  • The patient recovered without neurological injury and was discharged within days.
  • The cardiac rupture was deemed traumatic, not related to acute myocardial infarction.

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Implications:

  • This case suggests traumatic cardiac rupture can occur during resuscitation efforts.
  • Precordial thump may reduce the risk of traumatic cardiac rupture during chest compressions.
  • Early surgical intervention is crucial for survival in traumatic cardiac rupture.