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CASE REPORT
Year : 2016  |  Volume : 1  |  Issue : 1  |  Page : 13-15

Cardiac Tamponade from Isolated Right Atrial Rupture: A Rare Presentation of Blunt Chest Trauma Without Rib Fracture


Department of CVTS, Lokmanya Tilak Municipal Medical College and General Hospital, Sion West, Mumbai, Maharashtra, India

Correspondence Address:
Ganesh Kumar K Ammannaya
Department of CVTS, Lokmanya Tilak Municipal Medical College and General Hospital, Sion West, Mumbai, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2542-6281.194054

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Cardiac tamponade resulting from blunt chest trauma is an emergent and life-threatening condition. Cardiac rupture from blunt chest trauma is not a common presentation, and more so in the absence of rib or sternal fracture. We present a case of blunt chest trauma, who presented with features of cardiac tamponade. Emergency sternotomy revealed a right atrial rupture near the appendage which was surgically repaired. The patient also underwent simultaneous splenectomy for Grade 4 splenic injury. The patient recovered uneventfully. Prompt recognition of the injury based on a high index of suspicion must lead to immediate surgical intervention in order for these patients to survive, even in the absence of specialized imaging investigations.


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