A CASE OF SURVIVAL AFTER LEFT VENTRICULAR RUPTURE DUE TO FALLING
낙상으로 인한 좌심실 파열 후 생존한 환자 1례
정, 윤석; 배, 택환; 김, 행재; 김, 준식; 조, 준필; 이, 철주
Taehan Ŭnggup Ŭihakhoe chi, 6(1):66-71, 1995
Taehan Ŭnggup Ŭihakhoe chi; Journal of the Korean Society of Emergency Medicine; 대한응급의학회지
Blunt or nonpenetrating chest injuries are common after motor vehicle accidents or falls. Blunt injury to the heart ranges from contusion to rupture. Cardiac rupture, however, is uncommon and associated with a very high mortality rate ; left ventricular
rupture due to falling is even more rare. We experienced a case of left ventricular rupture of the heart cause by a fall, which the patient survived. A 63-year-old man fell of a ladder and presented with hypotension from left hemothorax and pericardial
tamponade. The hemothorax was relieved via an emergency closed thoracostomy but dyspnea and hypotension continued. And so, echocardiography was done and pericardial tamponade was detected. Emergency left thoracotomy was done to repair the rupture
We believe that patients with cardiac rupture who reach the hospital alive can often he saved by prompt diagnosis and immediate surgical treatment.
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