An Operated Case of Traumatic Aortic Rupture Caused by a Traffic Accident.
10.4326/jjcvs.28.414
- VernacularTitle:外傷性胸部大動脈破裂の１手術例
- Author:
Fumiaki Kawazuma
;
Tsutomu Saito
;
Osamu Kamisawa
;
Yoshio Misawa
;
Katsuo Fuse
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1999;28(6):414-417
- CountryJapan
- Language:Japanese
-
Abstract:
Injury to the thoracic aorta is often fatal. We encountered a case of aortic rupture caused by a traffic accident. A 20-year-old man was transferred to our hospital because of right elbow fracture and enlargement of the upper mediastinum on X-ray. We diagnosed aortic isthmus rupture by chest CT with enhancement. He did not have chest pain, but complained of severe pain in the right elbow. His hemodynamic condition was stable, but his right arm become swollen with increasing sensory disturbance. Chest CT and blood cell count showed no interval change between results at a previous hospital and ours. So we decided to operate on his right arm before aortic rupture. After the open reduction of his fractured elbow, pleural effusion increased although his hemodynamic condition was stable. Then the descending aorta was replaced under partial cardio-pulmonary bypass. His post-operative course was uneventful.
