Department of Cardiothoracic Surgery, Royal Hobart Hospital, Hobart, Tasmania, Australia.
Ann Thorac Surg. 2012 Oct;94(4):1343-5. doi: 10.1016/j.athoracsur.2012.01.088. Epub 2012 May 11.
Most cases of blunt cardiac rupture (BCR) are associated with mortality at the scene of the injury. For the fortunate 13% to 17% of patients who survive the journey to the hospital, the treatment is definitive surgical repair. In the setting of previous sternotomy, the pericardial adhesions may limit the damage and protect against cardiac tamponade. We describe a patient who sustained 2 right ventricular tears from blunt trauma in a motor vehicle accident 18 years after coronary artery bypass graft surgery. He did not demonstrate hemodynamic compromise and was successfully managed conservatively.
大多数钝性心脏破裂（BCR）的病例与受伤现场的死亡率有关。对于幸运的 13%至 17%的能存活到医院的患者，治疗方法是明确的手术修复。在先前进行过胸骨切开术的情况下，心包粘连可能会限制损伤并防止心脏压塞。我们描述了一位患者，他在冠状动脉旁路移植手术后 18 年因机动车事故遭受钝性外伤，导致 2 处右心室撕裂。他没有表现出血流动力学紊乱，成功地保守治疗。
