Blunt Cardiac Rupture in the Setting of Previous Sternotomy

Ch’ng, Stephanie; Plunkett, Brian T.; Hardikar, Ashutosh; Murton, Mark

doi:10.1016/j.athoracsur.2012.01.088

Cited by 4 publications

(8 citation statements)

References 11 publications

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“…Should RV rupture occur a number of years post-operation, it may not cause tamponade, and the patient may be saved by an operation to repair the damage. 6–8 This is because pericardial adhesions formed after a sternotomy, may prevent cardiac hemorrhage and protect against cardiac tamponade. 14 …”

Section: Discussionmentioning

confidence: 99%

“…Right ventricular (RV) rupture is a well-described and widely documented complication, following endocarditis, trauma or infection, 1–5 with high mortality rates, especially post-trauma (13–17%). 6 The existence of a previous sternotomy, proves to be a factor that increases the mortality (mostly due to pericardial adhesions). 6–8 …”

Section: Introductionmentioning

confidence: 99%

“… 6 The existence of a previous sternotomy, proves to be a factor that increases the mortality (mostly due to pericardial adhesions). 6–8 …”

Section: Introductionmentioning

confidence: 99%

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Post-trauma “abrasive” right ventricular rupture without mediastinitis early post-CABG. Is the Robicsek closure technique necessary for all elderly patients?

Georgiou

Patris

Lama

et al. 2014

International Journal of Surgery Case Reports

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INTRODUCTIONRight ventricular (RV) rupture with mediastinitis, is a very rare but extremely dangerous (even fatal) complication, following CABG surgery.PRESENTATION OF CASEIn this paper, we present the case of a post-trauma (after fall) RV rupture (without mediastinitis) in a patient who had undergone cardiac surgery several days ago. The cause of the rupture proved to be a broken bone piece from the lower sternal edge.DISCUSSIONRV rupture post-operatively caused by broken bone pieces or bone dislocation may occur through two mechanisms: either penetration of the RV, or through the “sandpaper effect”. In order to prevent the rupture, we should be able to recognize patients with aggravating factors (age, weight) and choose intra-operatively a suitable closure technique.CONCLUSIONWe propose that the technique that could prevent such ruptures is the Robicsek technique.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Post-trauma “abrasive” right ventricular rupture without mediastinitis early post-CABG. Is the Robicsek closure technique necessary for all elderly patients?

Georgiou

Patris

Lama

et al. 2014

International Journal of Surgery Case Reports

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“…Conservative treatment has been suggested in cases where the risks of surgical complications are increased by patient age or comorbidities . Given this patient's degree of injury, surgical intervention was deemed to be the most appropriate treatment.…”

Section: Commentmentioning

confidence: 99%

“…Survival with emergent surgical management (redo sternotomy) has only been described in one previous case . The remaining few cases have described conservative nonoperative management with variable outcomes …”

mentioning

confidence: 99%

Survival Following Traumatic Ventricular Rupture and Prolonged Ambulance Transport in a Patient With Previous Coronary Artery Bypass Surgery

2013

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Patients presenting with traumatic cardiac rupture are unlikely to survive lengthy transfers from the trauma scene to a hospital. However, in patients with a previous sternotomy, adhesions may divert cardiac hemorrhage, allowing hemodynamic management to be successful. We present an 83-year-old male with a history of coronary artery bypass grafting (CABG) who sustained a right ventricular rupture. He underwent an immediate redo sternotomy and was discharged 10 days postoperatively with no complications.

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Non-surgical management in hemodynamically unstable blunt traumatic pericardial effusion: A feasible option for treatment

Tanizaki

Nishida

Maeda

et al. 2018

The American Journal of Emergency Medicine

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Blunt Cardiac Rupture in the Setting of Previous Sternotomy

Cited by 4 publications

References 11 publications

Post-trauma “abrasive” right ventricular rupture without mediastinitis early post-CABG. Is the Robicsek closure technique necessary for all elderly patients?

Post-trauma “abrasive” right ventricular rupture without mediastinitis early post-CABG. Is the Robicsek closure technique necessary for all elderly patients?

Survival Following Traumatic Ventricular Rupture and Prolonged Ambulance Transport in a Patient With Previous Coronary Artery Bypass Surgery

Non-surgical management in hemodynamically unstable blunt traumatic pericardial effusion: A feasible option for treatment

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