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Ann Thorac Surg 1996;61:710-711
© 1996 The Society of Thoracic Surgeons

Case Report

Surviving Resuscitation: Successful Repair of Cardiac Rupture

Catarina Y. Bitkover, MD, Faris Al-Khalili, MD, Ary Ribeiro, MD, Jan Liska, MD

Departments of Cardiothoracic Surgery, Cardiology, and Thoracic Physiology, Karolinska Hospital, Stockholm, Sweden

Accepted for publication August 2, 1995.

An 83-year-old man was found unconscious and was successfully resuscitated. Progressive cardiac failure developed. After 42 hours of observation echocardiography revealed cardiac tamponade and a discontinuity in the left atrial wall. Exploration showed a laceration of the left atrium at the junction of the left pulmonary veins, which was closed with a direct suture on cardiopulmonary bypass. The postoperative course was uneventful.




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