Dergiler / Turkish journal of emergency medicine (Online) / 2022 / Cilt: 22 - Sayı: 2

Cardiac tamponade due to right atrial rupture

Sayfa
104–107
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

We also propose a management plan for managing a patient with cardiac tamponade due to blunt cardiac injury when the injury can be visible in the low‑pressure chambers.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Cardiac tamponade is a cardiac emergency that requires urgent intervention.
📊
Temel Bulgular & Veri:Cardiac tamponade due to penetrating cardiac injury requires urgent thoracotomy.
💡
Sonuç & Katkı:We also propose a management plan for managing a patient with cardiac tamponade due to blunt cardiac injury when the injury can be visible in the low‑pressure chambers.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

Cardiac tamponade is a cardiac emergency that requires urgent intervention. Cardiac tamponade due to penetrating cardiac injury requires urgent thoracotomy. As per the guidelines, pericardiocentesis can be done as a bridge to thoracotomy. However, no clear guidelines exist on the management of cardiac tamponade due to blunt cardiac injury. In the following case report, we propose a management plan for blunt cardiac injury in the emergency department. In the following case report, we describe a patient with a road traffic accident who had a blunt cardiac injury and had cardiac tamponade for whom we did not do emergency pericardiocentesis. Instead, we managed the patient with iv fluids and blood transfusion and the patient was taken up for immediate emergency thoracotomy. Not all cardiac tamponade requires pericardiocentesis. Cardiac tamponade due to injury to the low‑pressure system can be best managed by initial resuscitation followed by emergency thoracotomy. We also propose a management plan for managing a patient with cardiac tamponade due to blunt cardiac injury when the injury can be visible in the low‑pressure chambers.

🔖

Bu Makaleye Atıf Yap

RAJENDRAN, G., BABU, G. R., CHANDRASEKAR, V., KAGNE, R., NATHAN, B. (2022). Cardiac tamponade due to right atrial rupture. Turkish journal of emergency medicine (Online), Cilt: 22 - Sayı: 2, 104–107. https://ajindex.com/articles/418865

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (14)

  1. Spodick DH. Acute cardiac tamponade. N Engl J Med 2003;349:684‑90
  2. Spodick DH. The normal and diseased pericardium: Current concepts of pericardial physiology, diagnosis and treatment. J Am Coll Cardiol 1983;1:240‑51
  3. Reddy PS, Curtiss EI, Uretsky BF. Spectrum of hemodynamic changes in cardiac tamponade. Am J Cardiol 1990;66:1487‑91
  4. Bari G, Érces D, Varga G, Szűcs S, Bogáts G. Pathophysiology, clinical and experimental possibilities of pericardial tamponade. Orv Hetil 2018;159:163‑7
  5. Ancion A, Robinet S, Lancellotti P. Cardiac tamponade. Rev Med Liege 2018;73:277‑82
  6. Little WC, Freeman GL. Pericardial disease. Circulation 2006;113:1622‑32
  7. Adler Y, Charron P, Imazio M, Badano L, Baron‑Esquivias G, Bogaert J, et al. 2015 ESC Guidelines for the diagnosis and management of pericardial diseases. Task force for the diagnosis and management of pericardial diseases of the European Society of Cardiology (ESC). G Ital Cardiol (Rome) 2015;16:702‑38
  8. Saito Y, Donohue A, Attai S, Vahdat A, Brar R, Handapangoda I, et al. The syndrome of cardiac tamponade with “small” pericardial effusion. Echocardiography 2008;25:321‑7
  9. ShabetaiR. Pericardial and cardiac pressure. Circulation 1988;77:1‑5
  10. Pollock JD, Makaryus AN. Physiology, Cardiac Cycle. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2021. Available from: http://www.ncbi.nlm.nih.gov/books/ NBK459327/[Last accessed on 2021 Mar 12]
  11. De Maria E, Gaddi O, Navazio A, Monducci I, Tirabassi G, Guiducci U. Right atrial free wall rupture after blunt chest trauma. J Cardiovasc Med (Hagerstown) 2007;8:946‑9
  12. Feola A, Mastroianni V, Scamardella IA, Zangani P, Della Pietra B, Campobasso CP. Isolated right atrial rupture from blunt chest trauma in motor vehicle collisions: Mechanisms of injury and outcomes. Am J Forensic Med Pathol 2021;42:67‑9
  13. Maraqa T, Mohamed MA, Wilson KL, Perinjelil V, Sachwani‑Daswani GR, Mercer L. Isolated right atrial rupture from blunt trauma: A case report with systematic review of a lethal injury. J Cardiothorac Surg 2019;14:28
  14. Gascho JA, Martins JB, Marcus ML, Kerber RE. Effects of volume expansion and vasodilators in acute pericardial tamponade. Am J Physiol 1981;240:H49‑53.