K�nt toraks travmas�na ba�l� sol atriyal y�rt�k

Akar, �lker; �nce, �lker; Aslan, Cemal; �eber, Mehmet; Kaya, �lker

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K�nt toraks travmas�na ba�l� sol atriyal y�rt�k [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2015; 21(4): 303-305 | DOI: 10.5505/tjtes.2015.24968

K�nt toraks travmas�na ba�l� sol atriyal y�rt�k

�lker Akar¹, �lker �nce¹, Cemal Aslan¹, Mehmet �eber¹, �lker Kaya²
¹Gaziosmanpa�a �niversitesi T�p Fak�ltesi Kalp Ve Damar Cerrahisi Ana Bilim Dal�, Tokat
²Tokat Devlet Hastanesi, Kalp Ve Damar Cerrahisi Klini�i, Tokat

K�nt travmatik kardiyak yaralanma nadir olmakla birlikte y�ksek mortalite ile ili�kilidir. K�nt toraks travmas� sonras� kalp y�rt��n�n olu�mas�ndaki en ge�erli teori; h�zl� deselerasyona ba�l� atriumlar�n vena kava ve pulmoner venler ile birle�me yerlerinden olu�acak y�rt�lmad�r. Hemotoraks ve hemoperikardiyumun birlikte oldu�u olgularda yaralanma genellikle kalp ve/veya b�y�k damarlardan kaynaklanabilece�inden median sternotomi ile olan yakla��m yaralanman�n tamiri i�in kolayl�k sa�lar. Bu yaz�da, 33 ya��nda bir erkek olguda k�nt toraks travmas� sonras� olu�an sol atriyal y�rt��n mediyan sternotomi ile ba�ar�l� bir �ekilde tedavisi sunuldu.

Anahtar Kelimeler: K�nt toraks travmas�, sol atriyum; y�rt�k.

Left atrial rupture due to blunt thoracic trauma

�lker Akar¹, �lker �nce¹, Cemal Aslan¹, Mehmet �eber¹, �lker Kaya²
¹Department Of Cardiovascular Surgery, Gaziosmanpasa University, Tokat, Turkey
²Tokat State Hospital, Department Of Cardiovascular Surgery, Tokat, Turkey

Blunt traumatic cardiac rupture is rare and associated with high mortality. The most popular theory of cardiac rupture after blunt thoracic trauma is rapid deceleration with disruption of the atria from their connections to the vena cava and pulmonary veins. In cases with both massive hemothorax and hemopericardium, injury can usually originate from the heart and/or major vessels. Surgical approach through the median sternotomy can provide convenience to repair the defect. In this article, successful treatment with median sternotomy of a 33-year-old male case with a rupture of the left atrium after blunt thoracic trauma was reported.

Keywords: Blunt thoracic trauma, left atrium; rupture.

�lker Akar, �lker �nce, Cemal Aslan, Mehmet �eber, �lker Kaya. Left atrial rupture due to blunt thoracic trauma. Ulus Travma Acil Cerrahi Derg. 2015; 21(4): 303-305

Sorumlu Yazar: �lker Akar, T�rkiye
Makale Dili: �ngilizce

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