Traumatic pericardial rupture involved with complication by blunt chest trauma

被引：2

作者：

Fukuoka M. ^{[1
]}

Takeuchi T. ^{[1
,2
]}

Tsubota H. ^{[1
]}

Mikuriya Y. ^{[1
]}

Oda M. ^{[1
]}

Murata S. ^{[1
]}

机构：

[1] Department of Cardiovascular Surgery, Mitsubishi Kyoto Hospital, Kyoto

[2] Department of Cardiovascular Surgery, Mitsubishi Kyoto Hospital, Nishikyo-ku, Kyoto 615-8087

来源：

The Japanese Journal of Thoracic and Cardiovascular Surgery | 2004年 / 52卷 / 9期

关键词：

Blunt chest trauma; Phrenic nerve; Right ventricular rupture; Traumatic pericardial rupture; Tricuspid valve regurgitation;

D O I：

10.1007/s11748-004-0036-9

中图分类号：

学科分类号：

摘要：

A 65-year-old man who had sustained a blunt chest trauma in a traffic accident demonstrated a mass in the left hilum by chest radiography. Emergency surgery demonstrated a rupture of the left-side pericardium with herniation of the heart into the left pleural cavity along with a right ventricular rupture. The tear in the right ventricle was sutured using 4-0 polypropylene with felt and the pericardial rupture was repaired with an expanded polytetrafluoroethylene sheet. A 31-year-old man who had been crushed against a tree while skiing 5 years and 6 months earlier was diagnosed as having severe tricuspid valve regurgitation and tricuspid valve replacement was performed. Large left pericardial defect was found and repaired with an equine pericardial patch. In both cases, a bridging of phrenic nerve was found in the pericardial defect that was regarded as a traumatic rupture.

引用

页码：423 / 425

页数：2

共 10 条

[1]

Fulda G., Brathwaite C.E., Rodriguez A., Turney S.Z., Dunham C.M., Cowley R.A., Blunt traumatic rupture of the heart and pericardium: A ten-year experience (1979-1989), J Trauma, 31, pp. 167-172, (1991)

[2]

Yamada T., Matuyoshi T., Takeno F., Miura T., Nakamura M., Kimura M., Traumatic tricuspid regurgitation: A case report and a review of operated cases in Japan, Kyobu Geka, 49, pp. 146-150, (1996)

[3]

Sugita T., Watarida S., Katsuyama K., Nakajima Y., Yamamoto R., Mori A., Valve repair with chordal replacement for traumatic tricuspid regurgitation, J Heart Valve Dis, 6, pp. 651-652, (1997)

[4]

Yaginuma G., Ottomo M., Okada Y., Abe H., Miura T., Yokoyama K., A case report in reconstructive operation of a traumatic tricuspid regurgitation, Kyobu Geka, 47, pp. 769-771, (1994)

[5]

Noji S., Kitamura N., Yamaguchi A., Shuntoh K., Kimura S., Irie H., Successful valvuloplasty for isolated tricuspid regurgitation due to traumatic ruptured papillary muscle, Nippon Kyobu Geka Gakkai Zasshi, 43, pp. 1845-1849, (1995)

[6]

Yasuura K., Matsuura A., Maseki T., Miyahara K., Itoh T., Ichihara T., Et al., Successful repair of tricuspid regurgitation 46 years after causal blunt trauma, Scand J Thorac Cardiovasc Surg, 30, pp. 105-108, (1996)

[7]

Hachiro Y., Sugimoto S., Takagi N., Osawa H., Morishita K., Abe T., Native valve salvage for post-traumatic tricuspid regurgitation, J Heart Valve Dis, 10, pp. 276-278, (2001)

[8]

Brathwaite C.E., Rodriguez A., Turney S.Z., Dunham C.M., Cowley R., Blunt traumatic cardiac rupture. A 5-year experience, Ann Surg, 212, pp. 701-704, (1990)

[9]

Parmley L.F., Manion W.C., Mattingly T.W., Nonpenetrateing traumatic injury of the heart, Circulation, 18, pp. 371-396, (1958)

[10]

Gatzoulis M.A., Munk M.D., Merchant N., Van Arsdell G.S., McCrindle B.W., Webb G.D., Isolated congenital absence of the pericardium: Clinical presentation, diagnosis, and management, Ann Thorac Surg, 69, pp. 1209-1215, (2000)

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