EARLY DIAGNOSIS OF POSTTRAUMATIC EXTRAPERICARDIAL HEART LUXATION - BENEFIT OF COMPUTED-TOMOGRAPHY - A CASE-REPORT

被引：4

作者：

DESLANDES, V ^{[1
]}

JACOB, JP ^{[1
]}

CHAPILLON, M ^{[1
]}

LHOSTE, P ^{[1
]}

DEBRUX, JL ^{[1
]}

DELHUMEAU, A ^{[1
]}

机构：

[1] CHU ANGERS,DEPT ANESTHESIOL,F-49033 ANGERS 1,FRANCE

来源：

ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION | 1994年 / 13卷 / 05期

关键词：

D O I：

10.1016/S0750-7658(05)80732-4

中图分类号：

R614 [麻醉学];

学科分类号：

100217 [麻醉学];

摘要：

Heart luxation is a rare complication of chest trauma. The rupture of pericardium must be diagnosed as soon as possible, particularly before prolonged orthopaedic surgery for multitrauma, as a cardiac arrest may occur during anaesthesia. This report underlines the difficulties of diagnosis in a 40-year-old patient with head trauma, chest trauma and multiple fractures. The diagnosis was suspected on unstable blood pressure and left lung atelectasis. The computed tomography showed herniation of the left ventricle. Emergency thoracotomy showed the Left rupture of pericardium with complete left heart dislocation. Orthopaedic operation was carried out three days later. Computed tomography in multitrauma patients, seems to be decisive for early diagnosis of heart luxation. Emergency thoracotomy is essential.

引用

页码：734 / 737

页数：4