Right Atrial Rupture on CT Angiography in a Patient Receiving Cardiopulmonary Resuscitation and Extracorporeal Membrane Oxygenation: A Case Report

Cardiac rupture is a rare but fatal complication among patients undergoing cardiopulmonary resuscitation (CPR). Myocardial rupture can manifest as a discontinuity in the myocardial wall, communication between the ventricle or atrium and the pericardium, hemopericardium, or active extravasation of...

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Main Authors: Bon Jae Koo, Eun-Ju Kang, Hyun Jin Kim, Dong Hyun Lee
Format: Article
Language:English
Published: The Korean Society of Radiology 2024-11-01
Series:Journal of the Korean Society of Radiology
Subjects:
Online Access:https://doi.org/10.3348/jksr.2024.0014
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author Bon Jae Koo
Eun-Ju Kang
Hyun Jin Kim
Dong Hyun Lee
author_facet Bon Jae Koo
Eun-Ju Kang
Hyun Jin Kim
Dong Hyun Lee
author_sort Bon Jae Koo
collection DOAJ
description Cardiac rupture is a rare but fatal complication among patients undergoing cardiopulmonary resuscitation (CPR). Myocardial rupture can manifest as a discontinuity in the myocardial wall, communication between the ventricle or atrium and the pericardium, hemopericardium, or active extravasation of contrast into the pericardium. It can also occur alongside pericardial rupture or hemothorax. Diagnosing myocardial rupture via imaging is uncommon due to its clinical urgency and high mortality rate. We present a rare case of a 50-yearold man who developed a right atrial rupture, as seen on CT angiography, following CPR and venoarterial extracorporeal membrane oxygenation (VA-ECMO) for sudden cardiac arrest.
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publishDate 2024-11-01
publisher The Korean Society of Radiology
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series Journal of the Korean Society of Radiology
spelling doaj-art-7a7b05d51c51435c9e69fc4eb5f742b32025-08-20T02:07:08ZengThe Korean Society of RadiologyJournal of the Korean Society of Radiology2951-08052024-11-0185612091214https://doi.org/10.3348/jksr.2024.0014Right Atrial Rupture on CT Angiography in a Patient Receiving Cardiopulmonary Resuscitation and Extracorporeal Membrane Oxygenation: A Case ReportBon Jae KooEun-Ju KangHyun Jin KimDong Hyun LeeCardiac rupture is a rare but fatal complication among patients undergoing cardiopulmonary resuscitation (CPR). Myocardial rupture can manifest as a discontinuity in the myocardial wall, communication between the ventricle or atrium and the pericardium, hemopericardium, or active extravasation of contrast into the pericardium. It can also occur alongside pericardial rupture or hemothorax. Diagnosing myocardial rupture via imaging is uncommon due to its clinical urgency and high mortality rate. We present a rare case of a 50-yearold man who developed a right atrial rupture, as seen on CT angiography, following CPR and venoarterial extracorporeal membrane oxygenation (VA-ECMO) for sudden cardiac arrest.https://doi.org/10.3348/jksr.2024.0014right atrial rupturepericardial injurypost-cardiopulmonary resuscitationct angiographyvenoarterial extracorporeal membrane oxygenation
spellingShingle Bon Jae Koo
Eun-Ju Kang
Hyun Jin Kim
Dong Hyun Lee
Right Atrial Rupture on CT Angiography in a Patient Receiving Cardiopulmonary Resuscitation and Extracorporeal Membrane Oxygenation: A Case Report
Journal of the Korean Society of Radiology
right atrial rupture
pericardial injury
post-cardiopulmonary resuscitation
ct angiography
venoarterial extracorporeal membrane oxygenation
title Right Atrial Rupture on CT Angiography in a Patient Receiving Cardiopulmonary Resuscitation and Extracorporeal Membrane Oxygenation: A Case Report
title_full Right Atrial Rupture on CT Angiography in a Patient Receiving Cardiopulmonary Resuscitation and Extracorporeal Membrane Oxygenation: A Case Report
title_fullStr Right Atrial Rupture on CT Angiography in a Patient Receiving Cardiopulmonary Resuscitation and Extracorporeal Membrane Oxygenation: A Case Report
title_full_unstemmed Right Atrial Rupture on CT Angiography in a Patient Receiving Cardiopulmonary Resuscitation and Extracorporeal Membrane Oxygenation: A Case Report
title_short Right Atrial Rupture on CT Angiography in a Patient Receiving Cardiopulmonary Resuscitation and Extracorporeal Membrane Oxygenation: A Case Report
title_sort right atrial rupture on ct angiography in a patient receiving cardiopulmonary resuscitation and extracorporeal membrane oxygenation a case report
topic right atrial rupture
pericardial injury
post-cardiopulmonary resuscitation
ct angiography
venoarterial extracorporeal membrane oxygenation
url https://doi.org/10.3348/jksr.2024.0014
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AT hyunjinkim rightatrialruptureonctangiographyinapatientreceivingcardiopulmonaryresuscitationandextracorporealmembraneoxygenationacasereport
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