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Eur J Cardiothorac Surg 2001;20:1054-1056
© 2001 Elsevier Science NL

Case report

Blunt chest trauma: a right pulmonary vein rupture

Department of Thoracic and Cardiovascular Surgery, Dupuytren's University Hospital, Limoges, France

Received 26 April 2001; received in revised form 23 July 2001; accepted 25 July 2001.

Corresponding author. Cardiovascular Surgery, 2 Avenue M.L. King, Hôpital Dupuytren, 87042 Limoges Cedex, France. Tel.: +33-5-55-05-63-71; fax: +33-5-55-05-63-84
e-mail: a.leguyader{at}libertysurf.fr

This report describes the case of a 37-year-old man who fell from 6 m height and presented an isolated rupture of the right pulmonary vein. The patient had a low blood pressure without any sign of intrathoracic injury. An echocardiogram revealed a tamponade with hemodynamic intolerance. The repair was made using cardiopulmonary bypass which made the inspection and total repair of the lesions easier. This case is unusual because of the isolated lesion and the few articles about similar reports founded in an extended literature review. Mechanisms and generation of blunt chest trauma lesions are discussed.

Key Words: Blunt chest trauma • Pulmonary vein injury