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FAST was positive for pericardial fluid (arrow) with right ventricular collapse consistent with cardiac tamponade.
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A focused assessment with sonography in trauma (FAST) showed pericardial fluid with right ventricular collapse consistent with cardiac tamponade in the subxiphoid view [Fig. 1].
Emergency room thoracotomy. The clot removal restored the heart stroke and hemodynamic status following direct pericardiotomy (A, arrow). We transferred our patient to the CT room following temporary chest closure using sterile iodine-impregnated adhesive drapes (B).
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A subxiphoid pericardiotomy was performed simultaneously with tracheal intubation and fluid resuscitation [Fig. 2A]. Considering the effort involved in a repeat thoracotomy for aortic injury, we transferred the patient to the computed tomography (CT) room adjacent to the ER following temporary chest closure using sterile iodine-impregnated adhesive drapes [Fig. 2B].
Cardiac non-penetrating traumatic rupture of the left ventricular free wall (A, arrow). Hemostasis was achieved with digital pressure and a horizontal mattress sutures with 3-0 polypropylene and pledges (B, arrow) without cardiopulmonary bypass.
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Hemostasis was achieved with digital pressure and a horizontal mattress suture with 3-0 polypropylene and pledges without cardiopulmonary bypass [Fig. 3].