Key result
Echo-guided pericardiocentesis with large bore central vein catheter drainage and early thoracotomy was successfully used to manage traumatic cardiac tamponade from blunt cardiac rupture.
Case Report
Echo-guided pericardiocentesis with large bore catheter drainage and early thoracotomy can be successfully used to manage traumatic cardiac tamponade from blunt cardiac rupture.
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Does not support practice change after single case; leaves open role of echo-guided drainage plus thoracotomy in blunt rupture.
IntroductionBlunt cardiac rupture (BCR) is a very rare and the mostdevastating form of all blunt cardiac injuries (BCIs). It is wellaccepted that atrial injuries are more common than ventricularones and right more common than left. Clinical manifestationsdepend on the presence or absence of a pericardium tear. If apatient develops cardiac arrest or pulseless electrical activity(PEA), thechance ofsurvival diminishes.Theoverall mortalityrateis reported to be 81.3–100%. Even in patients presenting with vitalsigns, the mortality rate is greater than 50%.
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Chang et al. (2012) conducted a case report in Blunt cardiac rupture. Echo-guided pericardiocentesis with large bore central vein catheter drainage and early thoracotomy was evaluated. Echo-guided pericardiocentesis with large bore central vein catheter drainage and early thoracotomy was successfully used to manage traumatic cardiac tamponade from blunt cardiac rupture.
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