HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Pevec, W. C. Articles by Peitzman, A. B. Search for Related Content PubMed PubMed Citation Articles by Pevec, W. C. Articles by Peitzman, A. B.

The Annals of Thoracic Surgery, Vol 48, 139-142, Copyright © 1989 by The Society of Thoracic Surgeons

ARTICLES

Blunt rupture of the myocardium

WC Pevec, AO Udekwu and AB Peitzman
Department of Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15261.

With the evolution of regional trauma systems, patients with severe cardiac injury are arriving in emergency departments with the potential for survival. This paper reviews the 61 survivors of nonpenetrating rupture of the free walls of the myocardium reported in the English- language literature. The chambers were involved in the following frequency: right atrium, 36; left atrium, 11; right ventricle, 12; and left ventricle, four. Most victims were young males, and 85% were involved in motor vehicle accidents. Seventy percent had an admission systolic blood pressure less than 80 mm Hg, 78% had distended neck veins or a central venous pressure greater than 20 cm H2O, 67% had a widened mediastinum on admission chest roentgenogram, and 48% had fractures of the bony thorax. More than one hour elapsed before initiation of repair in 59%. Forty-eight percent of the repairs were performed via a median sternotomy. Cardiopulmonary bypass was used in only 10%.

This article has been cited by other articles:

				N. K. Jha, D. R Craddock, B. M Thomson, K. Jayaprasanna, and W. J Russell Rupture of Left Atrial Appendage and Pericardium Due to Blunt Trauma Asian Cardiovasc Thorac Ann, June 1, 2001; 9(2): 125 - 127. [Abstract] [Full Text] [PDF]

				N. P. Symbas, P. F. Bongiorno, and P. N. Symbas Blunt cardiac rupture: the utility of emergency department ultrasound Ann. Thorac. Surg., May 1, 1999; 67(5): 1274 - 1276. [Abstract] [Full Text] [PDF]

				J. O. Fulton, M. De Groot, U. O. Von Oppell, and T. Ruttman Blunt Cardiac Rupture Caused by Zip Gun Backfire Ann. Thorac. Surg., March 1, 1998; 65(3): 837 - 839. [Abstract] [Full Text] [PDF]

				C. Y. Bitkover, F. Al-Khalili, A. Ribeiro, and J. Liska Surviving Resuscitation: Successful Repair of Cardiac Rupture Ann. Thorac. Surg., February 1, 1996; 61(2): 710 - 711. [Abstract] [Full Text]