Table 1.
FINDINGS | THE CASES |
Hemodynamics | |
CVP ≥ 20 H2O | 1, 3, 9 |
SBP ≤ 70 mmHg | 2, 3, 4, 5, 6, 9 |
Thorax | |
Bruised chest wall | 2 |
Pneumothorax | 4 |
Lung contusion | 4 |
Sternal fracture | 2, 6, 7 |
Cyanosis | 1, 6 |
Muffled heart sounds | 1, 2, 3, 4, 9 |
Enlarged heart silluette | 4, 5, 6 |
Widened mediastinum | 4, 5,,6, 9 |
Cardiac tamponade | 1, 2, 3, 4, 5, 6, 7, 9 |
Pericardial tear associated to RAA injury | 3 |
Hemothorax | 3 |
Rib fracture | 7, 8 |
Neck | |
Neck vein distension | 2, 5, 6 |
Abdomen | |
Liver injury | 1, 2, 4, 8, 9 |
Spleen injury | 4, 8, 9 |
Extremity | |
Lower limb fractures | 1, 4, 7, 8, 9 |
SURGICAL PROCEDURES | |
Pericardiocentesis | 1, 3, 8 |
Laparotomy | 1. 4. 5.7, 8, 9 |
Sub-xiphoidal pericardial window | 4, 5, 7, 9 |
Opening of the diaphragm at laparotomy | 3 |
Access to RAA: | |
Bilateral thoracotomy | 9 |
Medial sternotomy | 1, 2, 3, 4, 5, 6, 7, 8 |
RAA injury repair: | |
Ligature | 2 |
Suture | 1, 3, 4, 5, 6,7, 8, 9 |
Main diagnostic and surgical findings and/or procedures performed in the 9 cases of isolated blunt traumatic rupture of the right atrium appendage (RAA) here discussed CVP: central venous pressue. SBP: systolic blood pressure. RAA: right atrium appendage. Figures in the right column of the Table represent the cases number: 1 (Trueblood et al [5]), 2 (Galton et al [6]), 3 (Leavitt et al [7]), 4 and 5 (Kupferschmidt et al [8]), 6 (Degiannis E et al [9]), 7 (Dagenais F et al [10]), 8 (Ilkjoer LB et al [11]).