Isolated right atrial rupture because of external cardiac massage after coronary artery bypass grafting

Yavuz, Senol; Eris, Cuneyt; Toktas, Faruk; Goncu, Tugrul; Ata, Yusuf; Turk, Tamer

doi:10.5372/1905-7415.0801.270

Abstract

Background: Isolated right atrial rupture is a very rare catastrophic complication of cardiopulmonary resuscitation.

Objective: We described a rare case of right atrial rupture after external cardiac massage.

Methods: We reported the case of a 62-year-old male patient who developed excessive bleeding following external cardiac massage for sudden cardiac arrest in the intensive care unit after coronary artery bypass grafting.

Results: This man underwent successful emergency repair of the tear of the right atrium without using cardiopulmonary bypass.

Conclusion: Right atrial rupture can occur after external cardiac massage. An emergency repair is needed.

References

1. Baringer JR, Salzman EW, Jones WA, Friedlich AL. External cardiac massage. New Eng J Med. 1961; 265: 62-5.10.1056/NEJM196107132650203
Search in Google Scholar Back to article
2. Machii M, Inaba H, Nakae H, Suzuki I, Tanaka H. Cardiac rupture by penetration of fractured sternum: a rare complication of cardiopulmonary resuscitation. Resuscitation. 2000; 43:151-3.10.1016/S0300-9572(99)00137-9
Open DOI Search in Google Scholar Back to article
3. Noffsinger AE, Blisard KS, Balko MG. Cardiac laceration and pericardial tamponade due to cardiopulmonary resuscitation after myocardial infarction. J Forensic Sci. 1991; 36:1760-4.10.1520/JFS13201J
Open DOI Search in Google Scholar Back to article
4. Curca GC, Dermengiu D, Ceausu M, Francisc A, Rusu MC, Hostiuc S. Cardiac lesions associated with cardiopulmonary resuscitation. Rom J Leg Med. 2011; 19:1-6.10.4323/rjlm.2011.1
Open DOI Search in Google Scholar Back to article
5. Co SJ, Yong-Hing CJ, Galea-Soler S, Ruzsics B, Schoepf UJ, Ajlan A, et al. Role of imaging in penetrating and blunt traumatic injury to the heart. Radiographics. 2011; 31:E101-5.10.1148/rg.31409517721768229
Open DOI Search in Google Scholar Back to article
6. Hakuba T, Minato N, Minematsu T, Kamohara K. Surgical management and treatment of a traumatic right atrial rupture. Gen Thorac Cardiovasc Surg. 2008; 56:551-4.10.1007/s11748-008-0294-z19002755
Open DOI Search in Google Scholar Back to article
7. Permanyer E, Ginel A, Munoz-Guijosa C, Padro JM. Right atrium traumatic rupture presenting as chronic tamponade. Interact CardioVasc Thorac Surg. 2009; 9:748-9.10.1510/icvts.2009.21178919605468
Search in Google Scholar Back to article
8. Chang WY, Hsu JY, Chang YP, Chao CS, Chang KJ. The successful management of a penetrating cardiac injury in a regional hospital: a case report. J Emerg Crit Care Med. 2008; 19:60-6.
Search in Google Scholar Back to article
9. Ata Y, Turk T, Yalcin M, Selimoglu O, Ozyazicioglu A, Yavuz S. Heart injuries. IU Kardiyol Ens Derg. 2009; 8: 16-9.
Search in Google Scholar Back to article
10. Kyokong O, Charuluxananan S, Werawatganon T, Termsombatborworn N, Leelachiewchankul F. Risk factors of perioperative death at a university hospital in Thailand: a registry of 50,409 anesthetics. Asian Biomed. 2008; 2:51-8.
Search in Google Scholar Back to article
11. Anthi A, Tzelepis GE, Alivizatos P, Michalis A, Palatianos GM, Geroulanos S. Unexpected cardiac arrest after cardiac surgery: incidence, predisposing causes, and outcome of open chest cardiopulmonary resuscitation. Chest. 1998; 113;15-9.10.1378/chest.113.1.159440561
Search in Google Scholar Back to article
12. Buschmann CT, Tsokos M. Frequent and rare complications of resuscitation attempts. Intensive Care Med. 2009; 35:397-404.10.1007/s00134-008-1255-918807013
Search in Google Scholar Back to article
13. Krischer JP, Fine EG, Davis JH, Nagel EL. Complications of cardiac resuscitation. Chest. 1987; 92:287-91.10.1378/chest.92.2.2873608599
Open DOI Search in Google Scholar Back to article
14. Pezzi A, Pasetti G, Lombardi F, Fiorentini C, Iapichino G. Liver rupture after cardiopulmonary resuscitation (CPR) and thrombolysis. Intensive Care Med. 1999; 25:1032.10.1007/s001340051007
Search in Google Scholar Back to article
15. Hoke RS, Chamberlain D. Skeletal chest injuries secondary to cardiopulmonary resuscitation. Resuscitation. 2004; 63:327-38.10.1016/j.resuscitation.2004.05.019
Open DOI Search in Google Scholar Back to article
16. Sokolove PE, Willis-Shore J, Panacek EA. Exsanguination due to right ventricular rupture during closed-chest cardiopulmonary resuscitation. J Emerg Med. 2002; 23:161-4.10.1016/S0736-4679(02)00504-8
Open DOI Search in Google Scholar Back to article
17. Biggart JD, McClure J. Right atrial laceration: complication of external cardiac massage. Br Heart J. 1975; 37:652-5.10.1136/hrt.37.6.6524828511148065
Open DOI Search in Google Scholar Back to article
18. Natsuaki M, Yamasaki A, Morishige N, Nishimi M, Okabe M, Yamamoto Y. Right ventricular rupture induced by cardiopulmonary resuscitation. J Cardiol Cases. 2010;1:e42-4.10.1016/j.jccase.2009.07.006626492630615749
Search in Google Scholar Back to article
19. Na S, Nam SB, Lee YK, Oh YJ, Kwak YL. Traumatic tricuspid regurgitation following cardiac massage. J Korean Med Sci. 2007; 22:731-4. 10.3346/jkms.2007.22.4.731269382917728519
Open DOI Search in Google Scholar Back to article

Isolated right atrial rupture because of external cardiac massage after coronary artery bypass grafting

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