Case Report: Multimodal ultrasound diagnosis of traumatic right coronary sinus rupture combined with atrial septal tears - Takeaways - 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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  • 1

    A 57-year-old male with polytrauma from a fall developed traumatic rupture of the right coronary sinus and atrial septal lacerations.

  • 2

    Multimodal ultrasound, including TTE, TEE, and ASCE, was crucial for diagnosing complex cardiac injuries in this case.

  • 3

    The patient experienced refractory hypoxemia and hemodynamic instability, necessitating ECMO support due to cardiopulmonary failure.

  • 4

    Despite aggressive treatment, including TEVAR and mechanical ventilation, the patient succumbed to severe infection and multiple organ failure.

  • 5

    The case highlights the importance of high suspicion for occult cardiac injuries in polytrauma patients for timely intervention.

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