A Case of Descending Aortic Rupture due to Blunt Chest Trauma.
10.4326/jjcvs.30.89
- VernacularTitle:外傷性胸部下行大動脈破裂の１例
- Author:
Masayuki Sakaguchi
;
Naobumi Fujii
;
Kazunori Nishimura
;
Nobuyuki Yanagiya
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2001;30(2):89-91
- CountryJapan
- Language:Japanese
-
Abstract:
We report a case of rupture of the thoracic descending aorta due to blunt chest trauma. An 18-year-old man was transferred to our hospital after a car accident. He was in a state of shock. The admission chest X-ray film demonstrated mediastinal widening and blurring of the aortic arch. Chest and abdominal helical CT scan showed left hemothorax, pseudoaneurysm, and hematoma of the cervix, mediastinum, and retroperitoneal space. We diagnosed rupture of the thoracic descending aorta without other injuries. An emergency operation was performed under partial cardiopulmonary bypass with systemic heparinization. The descending aorta had completely lost its continuity. Graft replacement was performed with a collagen-sealed woven Dacron graft. The postoperative course was uneventful. We suggest that high awareness and a systematic approach are needed to diagnose traumatic aortic rupture, and that enhanced helical CT scanning is helpful for diagnosis and management strategy.
