RIGHT VENTRICULAR RUPTURE DUE TO BLUNT TRAUMA TO CHEST IN 10 YEAR OLD BOY: A RARE PRESENTATION
Abstract
A 10 years old male child brought to the emergency department with a history of blunt trauma to the chest wall and abdomen due to the fall of a heavy metal rack. On arrival the patient was in shock and neck veins were distended, he was suspected to have cardiac tamponade. Intravenous fluid 20ml/kg bolus was given. The patient’s BP improved. The FAST scan was positive and transthoracic echocardiography showed pericardial hematoma. Immediately patient was shifted to OT, where explorative sternotomy was done, the hematoma was removed and right ventricular tear was found which was repaired. A protocol combining diagnostic tools, like FAST, CT, transthoracic echocardiography, and TEE, are best in diagnosing and managing suspected blunt traumatic cardiac rupture. Early diagnosis and appropriate timely intervention will decrease morbidities and mortality in patients with blunt traumatic cardiac rupture.
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References
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