TY - JOUR
T1 - Blunt cardiac rupture with prehospital pulseless electrical activity
T2 - A rare successful experience
AU - Lu, Li Hua
AU - Choi, Wai Mau
AU - Wu, Hsueh Ru
AU - Liu, Hung Chang
AU - Chiu, Wen Ta
AU - Tsai, Shin Han
PY - 2005/12
Y1 - 2005/12
N2 - Blunt cardiac rupture is highly associated with mortality. In the recent literature, the reported mortality rates of cardiac rupture ranged from 59.7% to 100%. The probability of survival for those with prehospital pulseless electrical activity was extremely low. This case report describes a rare example of survival of a female patient with life-threatening cardiac rupture and cardiac tamponade after a major car accident. The victim developed pulseless electrical activity at admission. She recovered from the accident, however, without developing any signs of neurologic deficits. This case study emphasizes the value of the primary survey of patients and prompt and accurate interventions, including focused abdominal sonography for trauma, pericardiocentesis, and an urgent thoracotomy in the operating room for primary repair of cardiac rupture without applying a cardiopulmonary bypass system. The study showed that early diagnosis and aggressive interventions are crucial factors to the successful outcome of patient's survival.
AB - Blunt cardiac rupture is highly associated with mortality. In the recent literature, the reported mortality rates of cardiac rupture ranged from 59.7% to 100%. The probability of survival for those with prehospital pulseless electrical activity was extremely low. This case report describes a rare example of survival of a female patient with life-threatening cardiac rupture and cardiac tamponade after a major car accident. The victim developed pulseless electrical activity at admission. She recovered from the accident, however, without developing any signs of neurologic deficits. This case study emphasizes the value of the primary survey of patients and prompt and accurate interventions, including focused abdominal sonography for trauma, pericardiocentesis, and an urgent thoracotomy in the operating room for primary repair of cardiac rupture without applying a cardiopulmonary bypass system. The study showed that early diagnosis and aggressive interventions are crucial factors to the successful outcome of patient's survival.
KW - Blunt cardiac rupture
KW - Cardiac tamponade
KW - Focused abdominal sonography for trauma
KW - Pulseless electrical activity
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U2 - 10.1097/01.ta.0000195876.14962.24
DO - 10.1097/01.ta.0000195876.14962.24
M3 - Article
C2 - 16394928
AN - SCOPUS:33646175043
SN - 0022-5282
VL - 59
SP - 1489
EP - 1491
JO - Journal of Trauma - Injury, Infection and Critical Care
JF - Journal of Trauma - Injury, Infection and Critical Care
IS - 6
ER -