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1
A 57-year-old male with polytrauma from a fall developed traumatic rupture of the right coronary sinus and atrial septal lacerations.
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2
Multimodal ultrasound, including TTE, TEE, and ASCE, was crucial for diagnosing complex cardiac injuries in this case.
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3
The patient experienced refractory hypoxemia and hemodynamic instability, necessitating ECMO support due to cardiopulmonary failure.
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4
Despite aggressive treatment, including TEVAR and mechanical ventilation, the patient succumbed to severe infection and multiple organ failure.
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5
The case highlights the importance of high suspicion for occult cardiac injuries in polytrauma patients for timely intervention.