Repair of coronary sinus shear stress injury following blunt chest trauma using adenosine-induced asystole

Abstract Blunt chest trauma following a motor vehicle accident is the leading cause of non-penetrating cardiac injuries. Major structural heart injuries are fatal due to acute tamponade. We present the case of a 17-year-old male who was involved in a motor vehicle accident. He had an isolated corona...

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Bibliographic Details
Published in:Interactive cardiovascular and thoracic surgery 2022-08, Vol.35 (3)
Main Authors: Nazer, Rakan I, Mrad, Bushr A, Hajjar, Waseem M, Albarrati, Ali M
Format: Article
Language:English
Subjects:
Case Report
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Summary:Abstract Blunt chest trauma following a motor vehicle accident is the leading cause of non-penetrating cardiac injuries. Major structural heart injuries are fatal due to acute tamponade. We present the case of a 17-year-old male who was involved in a motor vehicle accident. He had an isolated coronary sinus rupture, which was successfully repaired. We propose a potential mechanism implicated in this rare injury, and we summarize a novel repair technique with adenosine-induced transient asystole. Structural cardiac injuries following blunt chest trauma are associated with high mortality.
ISSN:1569-9293
1569-9285
DOI:10.1093/icvts/ivac114