Blunt cardiac rupture in a patient with a history of total correction of tetralogy of Fallot

Yasuhiro Fujii, Teiji Akagi, Shingo Kasahara, Hideya Mitsui, Kozo Ishino, Shunji Sano

Research output: Contribution to journalArticle

Abstract

A 35-year-old man with a history of total correction of tetralogy of Fallot (TOF) fell down while riding a bike and experienced blunt cardiac rupture. His vital signs were stable because the bleeding was limited by an adhesion caused by the previous operation. Chest computed tomography clearly displayed the ruptured points, and an emergency operation was performed. Because a pneumothorax was suspected, a cardiopulmonary bypass was established with a femorofemoral bypass while the patient was conscious before artificial ventilation was initiated. Two ruptured points were detected on the anterior wall of the right ventricle and were repaired by suturing. The patient recovered and was discharged without any major complications 40 days after the operation. This is the first published case of blunt cardiac rupture after total correction of TOF.

Original languageEnglish
Pages (from-to)134-136
Number of pages3
JournalGeneral Thoracic and Cardiovascular Surgery
Volume56
Issue number3
DOIs
Publication statusPublished - Mar 1 2008

Keywords

  • Heart Injuries
  • Nonpenetrating
  • Tetralogy of Fallot
  • Wounds

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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