Key result
Infarction of the atrial wall due to obliterative endarteritis or thrombotic occlusion is the most common cause of spontaneous atrial rupture.
Case Report (n=80)
Atrial infarction is the most common cause of spontaneous atrial rupture, and a high index of suspicion in patients with atrial infarction or cardiac tamponade may enable earlier diagnosis and surgical treatment.
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May prompt earlier diagnosis and surgery in atrial infarction with tamponade; leaves open prospective validation beyond case reports.
This paper reports a case of atrial rupture of the heart and reviews 79 other cases collected from the literature proven by autopsy. Incidence, etiology, pathologic physiology, diagnosis and possible treatment are discussed. Infarction of the atrial wall due to an obliterative endarteritis or thrombotic occlusion is the most common cause of spontaneous rupture of the atrium. With a high index of suspicion of atrial rupture in a patient with atrial infarction or cardiac tamponade, earlier diagnosis and surgical treatment may become possible.
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Kohn et al. (1954) conducted a case report in Atrial rupture of the heart (n=80). Infarction of the atrial wall was evaluated on Etiology and clinical characteristics of atrial rupture. Infarction of the atrial wall due to obliterative endarteritis or thrombotic occlusion is the most common cause of spontaneous atrial rupture.
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