Blunt rupture of the myocardium

William C Pevec, Anthony O. Udekwu, Andrew B. Peitzman

Research output: Contribution to journalArticle

68 Citations (Scopus)

Abstract

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 stemotomy. Cardiopulmonary bypass was used in only 10%.

Original languageEnglish (US)
Pages (from-to)139-142
Number of pages4
JournalThe Annals of Thoracic Surgery
Volume48
Issue number1
DOIs
StatePublished - 1989
Externally publishedYes

Fingerprint

Heart Atria
Heart Ventricles
Rupture
Myocardium
Thorax
Blood Pressure
Central Venous Pressure
Wounds and Injuries
Mediastinum
Motor Vehicles
Cardiopulmonary Bypass
Accidents
Survivors
Hospital Emergency Service
Veins
Neck
Language
Survival

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Blunt rupture of the myocardium. / Pevec, William C; Udekwu, Anthony O.; Peitzman, Andrew B.

In: The Annals of Thoracic Surgery, Vol. 48, No. 1, 1989, p. 139-142.

Research output: Contribution to journalArticle

Pevec, William C ; Udekwu, Anthony O. ; Peitzman, Andrew B. / Blunt rupture of the myocardium. In: The Annals of Thoracic Surgery. 1989 ; Vol. 48, No. 1. pp. 139-142.
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