General Thoracic and Cardiovascular Surgery

, Volume 65, Issue 11, pp 646–649 | Cite as

Rupture of the right upper pulmonary vein and left atrium caused by blunt chest trauma

Case Report
  • 148 Downloads

Abstract

A 49-year-old man was transferred to our hospital by ambulance due to blunt chest trauma sustained in a car accident. Echocardiography and enhanced computed tomography showed hemopericardium without other vital organ damage. Emergent surgery was performed under strong suspicion of traumatic cardiac rupture. Careful inspection showed a rupture of the right upper pulmonary vein at the junction of the left atrium, a laceration of the inferior vena cava, and a left-side pericardium rupture, and they were repaired with running 4-0 polypropylene suture. Postoperative hemodynamics were stable. The patient was discharged ambulatory on postoperative day 15.

Keywords

Blunt chest trauma Pulmonary vein Rupture Cardiac rupture 

Notes

Compliance with Ethical Standards

Conflict of interest

None declared.

References

  1. 1.
    Teixeira PG, Inaba K, Oncel D, DuBose J, Chan L, Rhee P, et al. Blunt cardiac rupture: a 5-year NTDB analysis. J Trauma. 2009;67:788–91.CrossRefPubMedGoogle Scholar
  2. 2.
    Leavitt BJ, Meyer JA, Morton JR, Clark DE, Herbert WE, Hiebert CA. Survival following nonpenetrating traumatic rupture of cardiac chambers. Ann Thorac Surg. 1987;44:532–5.CrossRefPubMedGoogle Scholar
  3. 3.
    Nahodil V. Traumatic rupture of the heart and left pulmonary vein. Int Surg. 1972;57:168–70.PubMedGoogle Scholar
  4. 4.
    Giordano RP, Haddad A, Floro S, Castro O. Blunt cardiac trauma. Pulmonary vein left arterial tear with recovery. NY State J Med. 1974;74:2374–8.Google Scholar
  5. 5.
    DiMarco RF, Layton TR, Manzetti GW, Pellegrini RV. Blunt traumatic rupture of the right atrium and the right superior pulmonary vein. J Trauma. 1983;23:353–5.CrossRefPubMedGoogle Scholar
  6. 6.
    Hanline MH Jr. Blunt traumatic rupture of the main pulmonary vessels. South Med J. 1983;76:541–2.CrossRefPubMedGoogle Scholar
  7. 7.
    McKeown PP, Rosemurgy A, Conant P. Blunt traumatic rupture of pulmonary vein, left atrium, and bronchus. Ann Thorac Surg. 1991;52:1171–2.CrossRefPubMedGoogle Scholar
  8. 8.
    Varghese D, Patel H, Cameron EW, Robson M. Repair of pulmonary vein rupture after deceleration injury. Ann Thorac Surg. 2000;70:656–8.CrossRefPubMedGoogle Scholar
  9. 9.
    Le Guyader A, Bertin F, Laskar M, Cornu E. Blunt chest trauma: a right pulmonary vein rupture. Eur J Cardiothorac Surg. 2001;20:1054–6.CrossRefPubMedGoogle Scholar
  10. 10.
    Ouda A, Kappert U, Ghazy T, Weise M, Ebner B, Tugtekin SM, et al. Isolated rupture of the right upper pulmonary vein: a blunt cardiac trauma case. Ann Thorac Surg. 2011;91:1267–9.CrossRefPubMedGoogle Scholar
  11. 11.
    Fukunaga N, Konishi Y, Murashita T, Yuzaki M, Shomura Y, Koyama T, et al. Survival after simultaneous repair of bichamber cardiac and pulmonary vein rupture caused by blunt chest trauma. Ann Thorac Surg. 2012;94:265–7.CrossRefPubMedGoogle Scholar
  12. 12.
    Nwaejike N, Mosca R, Hooper TL, Soon SY. Surgical repair of pulmonary vein injury from blunt trauma. Ann R Coll Surg Engl. 2015;97:e34–e6.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© The Japanese Association for Thoracic Surgery 2017

Authors and Affiliations

  1. 1.Department of Cardiovascular SurgeryIbaraki Seinan Medical Center HospitalIbarakiJapan

Personalised recommendations