Skip to main content
Top
Published in: General Thoracic and Cardiovascular Surgery 11/2017

01-11-2017 | Case Report

Rupture of the right upper pulmonary vein and left atrium caused by blunt chest trauma

Authors: Motoo Osaka, Ryo Nagai, Tadashi Koishizawa

Published in: General Thoracic and Cardiovascular Surgery | Issue 11/2017

Login to get access

Abstract

A 49-year-old man was transferred to our hospital by ambulance due to blunt chest trauma sustained in a car accident. Echocardiography and enhanced computed tomography showed hemopericardium without other vital organ damage. Emergent surgery was performed under strong suspicion of traumatic cardiac rupture. Careful inspection showed a rupture of the right upper pulmonary vein at the junction of the left atrium, a laceration of the inferior vena cava, and a left-side pericardium rupture, and they were repaired with running 4-0 polypropylene suture. Postoperative hemodynamics were stable. The patient was discharged ambulatory on postoperative day 15.
Literature
1.
go back to reference Teixeira PG, Inaba K, Oncel D, DuBose J, Chan L, Rhee P, et al. Blunt cardiac rupture: a 5-year NTDB analysis. J Trauma. 2009;67:788–91.CrossRefPubMed Teixeira PG, Inaba K, Oncel D, DuBose J, Chan L, Rhee P, et al. Blunt cardiac rupture: a 5-year NTDB analysis. J Trauma. 2009;67:788–91.CrossRefPubMed
2.
go back to reference Leavitt BJ, Meyer JA, Morton JR, Clark DE, Herbert WE, Hiebert CA. Survival following nonpenetrating traumatic rupture of cardiac chambers. Ann Thorac Surg. 1987;44:532–5.CrossRefPubMed Leavitt BJ, Meyer JA, Morton JR, Clark DE, Herbert WE, Hiebert CA. Survival following nonpenetrating traumatic rupture of cardiac chambers. Ann Thorac Surg. 1987;44:532–5.CrossRefPubMed
3.
go back to reference Nahodil V. Traumatic rupture of the heart and left pulmonary vein. Int Surg. 1972;57:168–70.PubMed Nahodil V. Traumatic rupture of the heart and left pulmonary vein. Int Surg. 1972;57:168–70.PubMed
4.
go back to reference Giordano RP, Haddad A, Floro S, Castro O. Blunt cardiac trauma. Pulmonary vein left arterial tear with recovery. NY State J Med. 1974;74:2374–8. Giordano RP, Haddad A, Floro S, Castro O. Blunt cardiac trauma. Pulmonary vein left arterial tear with recovery. NY State J Med. 1974;74:2374–8.
5.
go back to reference DiMarco RF, Layton TR, Manzetti GW, Pellegrini RV. Blunt traumatic rupture of the right atrium and the right superior pulmonary vein. J Trauma. 1983;23:353–5.CrossRefPubMed DiMarco RF, Layton TR, Manzetti GW, Pellegrini RV. Blunt traumatic rupture of the right atrium and the right superior pulmonary vein. J Trauma. 1983;23:353–5.CrossRefPubMed
6.
go back to reference Hanline MH Jr. Blunt traumatic rupture of the main pulmonary vessels. South Med J. 1983;76:541–2.CrossRefPubMed Hanline MH Jr. Blunt traumatic rupture of the main pulmonary vessels. South Med J. 1983;76:541–2.CrossRefPubMed
7.
go back to reference McKeown PP, Rosemurgy A, Conant P. Blunt traumatic rupture of pulmonary vein, left atrium, and bronchus. Ann Thorac Surg. 1991;52:1171–2.CrossRefPubMed McKeown PP, Rosemurgy A, Conant P. Blunt traumatic rupture of pulmonary vein, left atrium, and bronchus. Ann Thorac Surg. 1991;52:1171–2.CrossRefPubMed
8.
go back to reference Varghese D, Patel H, Cameron EW, Robson M. Repair of pulmonary vein rupture after deceleration injury. Ann Thorac Surg. 2000;70:656–8.CrossRefPubMed Varghese D, Patel H, Cameron EW, Robson M. Repair of pulmonary vein rupture after deceleration injury. Ann Thorac Surg. 2000;70:656–8.CrossRefPubMed
9.
go back to reference Le Guyader A, Bertin F, Laskar M, Cornu E. Blunt chest trauma: a right pulmonary vein rupture. Eur J Cardiothorac Surg. 2001;20:1054–6.CrossRefPubMed Le Guyader A, Bertin F, Laskar M, Cornu E. Blunt chest trauma: a right pulmonary vein rupture. Eur J Cardiothorac Surg. 2001;20:1054–6.CrossRefPubMed
10.
go back to reference Ouda A, Kappert U, Ghazy T, Weise M, Ebner B, Tugtekin SM, et al. Isolated rupture of the right upper pulmonary vein: a blunt cardiac trauma case. Ann Thorac Surg. 2011;91:1267–9.CrossRefPubMed Ouda A, Kappert U, Ghazy T, Weise M, Ebner B, Tugtekin SM, et al. Isolated rupture of the right upper pulmonary vein: a blunt cardiac trauma case. Ann Thorac Surg. 2011;91:1267–9.CrossRefPubMed
11.
go back to reference Fukunaga N, Konishi Y, Murashita T, Yuzaki M, Shomura Y, Koyama T, et al. Survival after simultaneous repair of bichamber cardiac and pulmonary vein rupture caused by blunt chest trauma. Ann Thorac Surg. 2012;94:265–7.CrossRefPubMed Fukunaga N, Konishi Y, Murashita T, Yuzaki M, Shomura Y, Koyama T, et al. Survival after simultaneous repair of bichamber cardiac and pulmonary vein rupture caused by blunt chest trauma. Ann Thorac Surg. 2012;94:265–7.CrossRefPubMed
12.
Metadata
Title
Rupture of the right upper pulmonary vein and left atrium caused by blunt chest trauma
Authors
Motoo Osaka
Ryo Nagai
Tadashi Koishizawa
Publication date
01-11-2017
Publisher
Springer Japan
Published in
General Thoracic and Cardiovascular Surgery / Issue 11/2017
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-017-0749-1

Other articles of this Issue 11/2017

General Thoracic and Cardiovascular Surgery 11/2017 Go to the issue