Cardiac rupture due to blunt trauma has been recognized with increasin
g frequency over the past two decades, The mortality rate is high and
the majority of patients die before they arrive at the emergency depar
tment, A high index of suspicion and prompt surgical intervention are
crucial for survival. We report the management of two patients, one wi
th a double right atrial tear and one with a single right atrial tear,
after each was involved in a motor vehicle accident.