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Ann Thorac Surg 2003;75:1001-1003
© 2003 The Society of Thoracic Surgeons

Case report

A successfully treated case of blunt traumatic right coronary ostium rupture

Satoru Sugimoto, MD, PhDa*, Akihiko Yamauchi, MD, PhDa, Kinya Kudoh, MDa, Mineji Hayakawa, MDa, Yasumi Igarashi, MDa, Toshiaki Tanaka, MD, PhDa

a Department of Emergency and Critical Care Medicine, Sapporo Municipal Hospital, Chuo-ku, Sapporo, Japan

Accepted for publication September 27, 2002.

* Address reprint requests to Dr Sugimoto, Department of Emergency and Critical Care Medicine, Sapporo Municipal Hospital, Kita-11, Nishi-13, Chuo-ku, Sapporo 060-8604, Japan
e-mail: satoru-sugimoto{at}hokkaido.med.or.jp

Cardiac tamponade due to coronary artery rupture, as a consequence of blunt trauma, is a rare but usually fatal condition. We successfully obtained primary hemostasis with emergency room thoracotomy, followed by delayed definitive treatment of the ruptured right coronary artery ostium in a motor vehicle accident victim with multifocal hemorrhagic lesions. Survival of patients with the described serious trauma has not been reported, and we discuss herein our treatment strategy.




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