Cases reported "Contusions"

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1/4. Intra-aortic balloon counterpulsation for cardiogenic shock due to cardiac contusion in an elderly trauma patient.

    Blunt thoracic trauma may cause cardiac contusion and cardiogenic shock resistant to inotropic support. The use of intra-aortic balloon counterpulsation (IABCP) as a mechanical means of augmenting cardiac function following cardiac contusion is rare with case reports largely limited to its use in young trauma patients. We describe the case of a frail, 80-year-old woman who suffered cardiac contusion in a motor vehicle crash. She developed cardiogenic shock with electrocardiograph changes, elevated troponin t and severe global dysfunction on echocardiography. She was successfully managed with invasive monitoring, inotropic support and IABCP. This case provides support for aggressive resuscitation even in the very elderly as recovery from severe cardiac contusion may be possible.
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ranking = 1
keywords = counterpulsation
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2/4. Intra-aortic balloon pump for combined myocardial contusion and thoracic aortic rupture.

    The coexistence of myocardial contusion and thoracic aortic injury is probably more common than recognized following rapid deceleration multisystem trauma. This report describes the successful application of intra-aortic balloon counterpulsation in a critically injured patient requiring emergent repair of a thoracic aortic tear complicated by ventricular failure due to cardiac contusion.
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ranking = 0.2
keywords = counterpulsation
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3/4. Intra-aortic balloon counterpulsation for cardiogenic shock from cardiac contusion.

    Two patients who sustained cardiac contusions secondary to blunt chest trauma developed refractory cardiogenic shock. Use of intra-aortic balloon counterpulsation improved circulatory dynamics in each case and one patient survived. Requirements for inotropic agents were diminished or eliminated, cardiac output was increased, acidosis was reversed, and the electrocardiogram reverted to normal. Although balloon counterpulsation is most effectively employed in patients with ischemic cardiac deficits, its early application coupled with appropriate pharmacologic treatment is also effective in raising low cardiac output that results from myocardial trauma.
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ranking = 1.2
keywords = counterpulsation
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4/4. Use of the intra-aortic balloon support for refractory low cardiac output in myocardial contusion.

    A patient with refractory low cardiac output and recurring ventricular arrhythmias resulting from myocardial contusion was treated with intra-aortic balloon counterpulsation. Use of the intra-aortic balloon resulted in an increased cardiac output and control of the ventricular arrhythmias. After 1 year the patient shows no sequelae of myocardial contusion, although he is still paraplegic.
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ranking = 0.2
keywords = counterpulsation
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