Kim Tae Yun, Kim Kyung Hwa
Department of Thoracic and Cardiovascular Surgery, Research Institute of Clinical Medicine, Chonbuk National University Hospital, Chonbuk National University Medical School, Jeonju, Republic of Korea.
Interact Cardiovasc Thorac Surg. 2019 Jun 1;28(6):999-1000. doi: 10.1093/icvts/ivy323.
The isolated coronary sinus (CS) rupture causing cardiac tamponade following blunt chest trauma is a very rare and very unique traumatic form of cardiac tamponade. Prompt recognition of this injury is crucial for patient survival. CS injuries are frequently difficult to repair and are potentially lethal. A meticulous repair carried out on an arrested, empty and well-protected heart is recommended to achieve secure haemostasis and CS patency. To our knowledge, this is the first report on the successful repair of isolated CS rupture following blunt chest trauma.
钝性胸部创伤后孤立性冠状静脉窦（CS）破裂导致心脏压塞是一种非常罕见且独特的心脏压塞创伤形式。及时识别这种损伤对患者的生存至关重要。CS损伤常常难以修复且有潜在致命性。建议在心脏停搏、空虚且得到良好保护的情况下进行细致修复，以实现可靠的止血和CS通畅。据我们所知，这是关于钝性胸部创伤后孤立性CS破裂成功修复的首例报告。
