A successfully treated case of blunt traumatic right coronary ostium rupture.

Sugimoto, Satoru; Yamauchi, Akihiko; Kudoh, Kinya; Hayakawa, Mineji; Igarashi, Yasumi; Tanaka, Toshiaki · Ann Thorac Surg · 2003

case_report · Level V

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Abstract

Cardiac tamponade due to coronary artery rupture, as a consequence of blunt trauma, is a rare but usually fatal condition. We successfully obtained primary hemostasis with emergency room thoracotomy, followed by delayed definitive treatment of the ruptured right coronary artery ostium in a motor vehicle accident victim with multifocal hemorrhagic lesions. Survival of patients with the described serious trauma has not been reported, and we discuss herein our treatment strategy.

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