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General Thoracic and Cardiovascular Surgery

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01-12-2019 | Case Report

Successful hybrid treatment of a rare case of blunt traumatic rupture of the left atrial basal appendage and aortic arch

Authors: Yuki Ikeno, Yoshikatsu Nomura, Masamichi Matsumori, Yasuko Gotake, Hidekazu Nakai, Takashi Matsueda, Katsuhiro Yamanaka, Takeshi Inoue, Hiroshi Tanaka, Yutaka Okita

Published in: General Thoracic and Cardiovascular Surgery | Issue 12/2019

Abstract

Despite advances in emergency care and the emergent transportation system, cardiac and aortic ruptures after blunt trauma are associated with high mortality and morbidity. We present a rare case of a 70-year-old man with a ruptured left atrial basal appendage and distal aortic arch after sustaining blunt trauma to the chest during a motor vehicle accident. The patient was transported to our hospital in a state of shock and taken directly to the operating room. Hybrid treatment was performed, including surgical repair of the left atrium under cardiopulmonary bypass and thoracic endovascular aortic repair, was performed. The patient fully recovered without any complications.

Nan YY, Lu MS, Liu KS, et al. Blunt traumatic cardiac rupture: therapeutic options and outcomes. Injury. 2009;40:938–45.CrossRefPubMedCentral

Brintz M, Gall WE, Harbin D. Blunt myocardial disruption: report of an unusual case and literature review. J Trauma. 1992;33:933–4.CrossRef

Yousef R, Carr JA. Blunt cardiac trauma: a review of the current knowledge and management. Ann Thorac Surg. 2014;98:1134–40.CrossRefPubMedCentral

Tanoue K, Sata N, Moriyama Y, Miyahara K. Rupture of the left atrial ‘basal’ appendage due to blunt trauma in an elderly patient. Euro J Cardiothorac Surg. 2008;34:1118–9.CrossRef

Tang GL, Tehrani HY, Usman A, et al. Reduced mortality, paraplesia, and stroke with stent graft repair of blunt aortic transections: a modern meta-analysis. J Vasc Surg. 2008;47:671–5.CrossRefPubMedCentral

Title: Successful hybrid treatment of a rare case of blunt traumatic rupture of the left atrial basal appendage and aortic arch
Authors: Yuki Ikeno
Yoshikatsu Nomura
Masamichi Matsumori
Yasuko Gotake
Hidekazu Nakai
Takashi Matsueda
Katsuhiro Yamanaka
Takeshi Inoue
Hiroshi Tanaka
Yutaka Okita
Publication date: 01-12-2019
Publisher: Springer Singapore
Published in: General Thoracic and Cardiovascular Surgery / Issue 12/2019
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI: https://doi.org/10.1007/s11748-018-0992-0

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Successful hybrid treatment of a rare case of blunt traumatic rupture of the left atrial basal appendage and aortic arch

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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Acknowledgment to reviewers