Successful diagnosis of pericardial rupture caused by blunt chest trauma using contrast ultrasonography.
J Med Ultrason (2001)
; 43(1): 95-8, 2016 Jan.
Article
en En
| MEDLINE
| ID: mdl-26703173
ABSTRACT
A 65-year-old male developed acute myocardial infarction due to coronary artery dissection and tricuspid valve injury after blunt chest trauma. Acute myocardial infarction was treated by coronary artery intervention; however, refractory heart failure with pleural effusion remained. The first transthoracic echocardiography (TTE) on admission failed to clearly visualize the tricuspid valve and right ventricle due to poor image quality. A follow-up TTE with contrast ultrasonography revealed pericardial rupture in addition to tricuspid regurgitation. Ruptures of the tricuspid papillary muscle and pericardium were confirmed during surgery and were repaired successfully. Blunt chest trauma results in various cardiac injuries including cardiac rupture, intramural hematoma, valvular injury, coronary artery injury, and electrical disturbances, leading to critical conditions and high mortality. Of such blunt trauma-induced injuries, coronary artery dissection, tricuspid valve injury, and pericardial rupture caused by blunt chest trauma are rare, and simultaneous occurrence of the three types of injuries that were successfully repaired has not been reported. In addition, this case indicates the utility of contrast ultrasonography for diagnosis of pericardial rupture caused by blunt chest trauma.
Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Pericardio
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Traumatismos Torácicos
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Ecocardiografía
Tipo de estudio:
Diagnostic_studies
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Etiology_studies
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Observational_studies
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Prognostic_studies
Límite:
Aged
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Humans
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Male
Idioma:
En
Revista:
J Med Ultrason (2001)
Año:
2016
Tipo del documento:
Article
País de afiliación:
Japón