- Author: Do Wan Kim, Kyo Seon Lee, Kook Joo Na, Sang Gi Oh, Yong Hun Jung, In Seok Jeong
- Date: 2014/12/01
- Journal: Journal of cardiothoracic surgery;9;1-3
- PMID: 25409742
- PMCID: PMC4246540
- DOI: 10.1186/s13019-014-0164-y
Abstract
Cardiac rupture is rare but potentially life-threatening complication after chest trauma. We present the case of a 57-year-old male who developed cardiac arrest because of extensive pericardial tamponade after a falling injury. We decided to perform an exploratory sternotomy in the operating room (OR). The patient was transported to the OR on extracorporeal membrane oxygenation (ECMO) support. We found a rupture of the coronary sinus after evacuation of an extensive hematoma in the pericardium and primarily repaired the injured site. After 2 days, the patient died due to refractory cardiogenic shock. To our knowledge, this is the first reported case of rupture of the coronary sinus after blunt chest trauma.