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J Korean Soc Emerg Med > Volume 29(4); 2018 > Article
Journal of The Korean Society of Emergency Medicine 2018;29(4): 380-384.
일반인 심폐소생술 후 발생한 좌심실 파열 1례
단국대학교병원 응급의학과
A case of left ventricle rupture complicating lay rescuer cardiopulmonary resuscitation
Chan-Young Koh
Department of Emergency Medicine, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Korea
Correspondence  Chan-Young Koh ,Tel: 041-550-6840, Fax: 041-550-0524, Email: suepunk@naver.com,
Received: May 9, 2018; Revised: July 8, 2018   Accepted: July 19, 2018.  Published online: August 31, 2018.
Chest compression is the most important component of cardiopulmonary resuscitation, but excessive chest compression can cause serious mechanical complications. Skeletal injuries are the most frequent complications of chest compression, but lacerations of the heart and great vessels are very rare. We report a case of a 62-year-old woman who developed an acute alteration in mental status, and underwent chest compression by a lay rescuer for 5 minutes. When she arrived at the emergency department, she regained consciousness, but constantly complained of chest pain and hypotension. Chest computed tomography revealed a left ventricular free wall rupture with extravasation and hemopericardium. She was managed with surgical repair and was discharged without complications after 21 days of admission.
Key words: Chest compression; Lay rescuer; Left ventricles; Rupture
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