Repair of coronary sinus shear stress injury following blunt chest trauma using adenosine-induced asystole

Rakan I Nazer; Bushr A Mrad; Waseem M Hajjar; Ali M Albarrati

doi:10.1093/icvts/ivac114

Repair of coronary sinus shear stress injury following blunt chest trauma using adenosine-induced asystole

Interact Cardiovasc Thorac Surg. 2022 Aug 3;35(3):ivac114. doi: 10.1093/icvts/ivac114.

Authors

Rakan I Nazer¹, Bushr A Mrad², Waseem M Hajjar³, Ali M Albarrati⁴

Affiliations

¹ Department of Cardiac Science, Unit of Cardiac Surgery, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.
² Department of Surgery, Unit of Trauma, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.
³ Department of Surgery, Unit of Thoracic Surgery, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.
⁴ Department of Rehabilitation Science, College of Applied Medical Science, King Saud University, Riyadh, Kingdom of Saudi Arabia.

Abstract

Blunt chest trauma following a motor vehicle accident is the leading cause of non-penetrating cardiac injuries. Major structural heart injuries are fatal due to acute tamponade. We present the case of a 17-year-old male who was involved in a motor vehicle accident. He had an isolated coronary sinus rupture, which was successfully repaired. We propose a potential mechanism implicated in this rare injury, and we summarize a novel repair technique with adenosine-induced transient asystole.

Keywords: Blunt chest trauma; Coronary sinus injury.

Publication types

Case Reports

MeSH terms

Adenosine
Adolescent
Cardiac Tamponade*
Coronary Sinus*
Heart Arrest*
Heart Injuries*
Humans
Male
Thoracic Injuries*
Wounds, Nonpenetrating*

Substances

Adenosine