Open AccessSurvival after blunt left ventricular rupture with cardiac tamponade
Author(s) -
YuJang Su,
Chang-Chih Chen
Publication year - 2013
Publication title -
journal of acute disease
Language(s) - English
Resource type - Journals
eISSN - 2589-5516
pISSN - 2221-6189
DOI - 10.1016/s2221-6189(13)60155-9
Subject(s) - medicine , cardiac tamponade , blunt , pericardial effusion , intensive care unit , tamponade , cardiology , mortality rate , surgery , anesthesia
A 34-year-old man was drunk and drove to hit a traffic island. Cold sweating and unconscious status were found on arrival. Vital signs revealed BP 42/25, and heart rate 121/min. There was massive pericardial effusion with cardiac tamponade found by CT. Immediate surgical intervention and rupture of left ventricular (LV) free wall was found. He was discharged after 2 d intensive care unit (ICU) observation and 5-day regular ward care. There is high mortality rate in traumatic heart rupture although timely repair, over all mortality is around 20%-36% in recent 3 years