June 1, 1986Journal of Trauma and Acute Care Surgery
Management of Blunt Rupture of the Heart
Key result
Primary closure of blunt heart rupture without CPB yields ~70% survival.
- n=10
Why the study?
Management strategies and outcomes for patients with blunt heart rupture presenting alive are not well characterized.
Comparison
Different surgical approaches including subxiphoid window with sternotomy, right or left thoracotomy, and immediate sternotomy
Design
Observational case series
Authors
Discussion
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Member takes
Implication
May support primary repair without bypass in select survivors to ED; hypothesis-generating from Level 5 case series and should not change practice.
Study Design
Type
Observational (n=10)
Multicenter
No
Structured PICO
P
Population
10 patients (mean age 35, 30% female) with blunt heart rupture arriving alive at an emergency center over an 11-year period.
E
Exposure
Primary closure of the defect without cardiopulmonary bypass (approaches included subxiphoid window followed by sternotomy, right thoracotomy, left thoracotomy, or immediate sternotomy).
O
Outcome
Survivalhard clinical
Prompt surgical intervention without cardiopulmonary bypass can result in high survival rates for patients arriving alive with blunt heart rupture.
Cite This Study
Calhoon et al. (1986) conducted an observational in Blunt rupture of the heart (n=10). Surgical repair (primary closure without cardiopulmonary bypass) was evaluated on Survival. Primary closure of blunt heart rupture without cardiopulmonary bypass resulted in a 70% survival rate among 10 patients arriving alive at the emergency center.