Case Report: Multimodal ultrasound diagnosis of traumatic right coronary sinus rupture combined with atrial septal tears - Report - MDSpire

Case Report: Multimodal ultrasound diagnosis of traumatic right coronary sinus rupture combined with atrial septal tears

  • By

  • Jinting Wang

  • Cui Yang

  • Yeshun Wu

  • July 3, 2026

  • 0 min

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Clinical Report: Comprehensive Ultrasound Evaluation of Traumatic Rupture

Overview

This case study details a 57-year-old male with traumatic rupture of the right coronary sinus and atrial septal lacerations following a high-altitude fall. The patient succumbed to complications.

Background

Cardiac injuries in polytrauma patients are often hidden and associated with high mortality rates, making timely diagnosis crucial. Multimodal ultrasonography, including transthoracic and transesophageal echocardiography, has emerged as an effective tool for identifying these injuries.

Data Highlights

No numerical data or trial data provided in the article.

Key Findings

  • A 57-year-old male presented with traumatic rupture of the right coronary sinus into the right atrium and ventricle.
  • Multimodal ultrasound was used for diagnosing complex cardiac injuries in the context of polytrauma.
  • The patient developed refractory hypoxemia and hemodynamic instability post-injury.
  • Despite aggressive treatment, including ECMO, the patient succumbed to severe infection and multiple organ failure.
  • Echocardiography was applied in the management of the patient.

Clinical Implications

Healthcare professionals should maintain a high suspicion for occult cardiac injuries in polytrauma patients. Utilizing multimodal echocardiography can enhance diagnostic accuracy.

Conclusion

This case highlights the role of multimodal ultrasound in the diagnosis of cardiac injuries in polytrauma.

Related Resources & Content

  1. Pediatric Cardiology, Source, 2008 -- Coronary Artery Anomaly Originating from the Incorrect Sinus in a 15-Year-Old Male Patient
  2. Frontiers in Cardiovascular Medicine, Source, 2026 -- Case Report: Fenestration-free non-obstructive left atrial membrane overlapping with the cor triatriatum spectrum: multimodality imaging and three-year follow-up
  3. Pediatric Cardiology, Source, 2009 -- Utilization of 64-Slice CT Imaging to Prevent Misdiagnosis of Anomalous Left Main Coronary Artery Origin
  4. Frontiers in Cardiovascular Medicine, Source, 2026 -- Case Report: Giant coronary artery aneurysm with cardiac compression successfully managed by surgical resection and bypass in a normolipidemic patient
  5. WSES–AAST thoracic trauma guidelines, Source, 2025 -- Early ultrasound for lesion detection in hemodynamically unstable blunt or penetrating thoracic trauma
  6. Blunt Cardiac Injury - Injuries; Poisoning - Merck Manual Professional Edition, Source, 2026
  7. Ruptured Sinus of Valsalva Aneurysm: An Unexpected Cause of Respiratory Failure | JACC: Case Reports, Source, 2026
  8. https://wjes.biomedcentral.com/counter/pdf/10.1186/s13017-025-00651-1.pdf
  9. Blunt Cardiac Injury - Injuries; Poisoning - Merck Manual Professional Edition
  10. Ruptured Sinus of Valsalva Aneurysm: An Unexpected Cause of Respiratory Failure | JACC: Case Reports

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