Blunt superior vena caval rupture with cardiac tamponade: case report and review
Thoracic great vein injuries are uncommon, especially in the setting of blunt trauma. We present a case report of an adult patient presenting after a motor vehicle collision with rupture of the superior vena cava into the pericardium and manifesting as cardiac tamponade. We discuss the patient’s hospital course from point of injury, initial resuscitation, trauma bay interventions, operative repair, and hospital course, as well as indications for long-term anticoagulation after superior vena cava repair.
Authors
- Thomas Michael Scalea (ORCID: https://orcid.org/0000-0001-8794-4108)
- Ryan Fransman
- Rishi Kundi (ORCID: https://orcid.org/0000-0001-8644-999X)
- Benjamin Scott (ORCID: https://orcid.org/0009-0002-4750-7709)
Institutions
- University of Maryland, Baltimore (US)
- Grady Memorial Hospital (US)
- University of Maryland Medical Center (US)
- Walter Reed National Military Medical Center (US)
- International Trauma Anesthesia and Critical Care Society (US)
Publication Details
- Journal
- Trauma Surgery & Acute Care Open
- Published
- 2025-01-01
- DOI
- https://doi.org/10.1136/tsaco-2024-001703
- Primary Topic
- Venous Thromboembolism Diagnosis and Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00