J Korean Soc Emerg Med.  2017 Feb;28(1):141-146. 10.0000/jksem.2017.28.1.141.

Emergency Department Thoracotomy with Clamshell Incision for Traumatic Cardiac Tamponade

Affiliations
  • 1Department of Surgery, Trauma Center, Dankook University Hospital, Cheonan, Korea. changsw3@naver.com
  • 2Department of Thoracic and Cardiovascular Surgery, Trauma Center, Dankook University Hospital, Cheonan, Korea.
  • 3Department of Neurosurgery, Trauma Center, Dankook University Hospital, Cheonan, Korea.

Abstract

The emergency department thoracotomy (EDT) is a bold and challenging procedure, which may be the only chance of survival for some moribund trauma patients. EDT provides ample exposure to the injury site of the heart, enabling an effective open cardiac massage. Clamshell thoracotomy is a rapid and simple procedure that provides excellent exposure to internal structures. Because EDT has more favorable outcomes for penetrating injuries than for blunt injuries, the indication for EDT in patients with blunt trauma should be well established. Cardiac tamponade is a life-threatening condition that requires emergent pericardial decompression. EDT has been associated with successful initial resuscitation for traumatic cardiac arrest with cardiac tamponade. To date, there has not been any reports of clamshell incision via EDT for trauma patients in South Korea. Hence, herein, we describe two cases in which EDT with clamshell incision was implemented for cardiac tamponade with cardiac arrest after blunt trauma.

Keyword

Emergency department; Thoracotomy; Cardiac tamponade; Trauma

MeSH Terms

Cardiac Tamponade*
Decompression
Emergencies*
Emergency Service, Hospital*
Heart
Heart Arrest
Heart Massage
Humans
Korea
Resuscitation
Thoracotomy*
Wounds, Nonpenetrating
Full Text Links
  • JKSEM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2022 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr