Stanford Type A Acute Aortic Dissection Case Caused by Blunt Chest Trauma
10.4326/jjcvs.42.159
- VernacularTitle:鈍的外傷による Stanford A 型大動脈解離の1例
- Author:
Hiroyuki Saisho
;
Satoru Tobinaga
;
Yuichiro Hirata
;
Kumiko Wada
;
Ryusuke Mori
;
Tomokazu Ohno
;
Atsuhisa Tanaka
;
Shinichi Hiromatsu
;
Hidetoshi Akashi
;
Hiroyuki Tanaka
- Publication Type:Journal Article
- Keywords:
blunt chest trauma;
traumatic aortic dissection;
Stanford Type A
- From:Japanese Journal of Cardiovascular Surgery
2013;42(2):159-162
- CountryJapan
- Language:Japanese
-
Abstract:
A 31-year-old man fell into syncope caused by compression by a machine in his factory. He was taken to the nearest hospital at once for treatment. His chest X-ray seemed normal and his general condition improved. He received no medical treatment and was allowed to return home. Two days later, he went to the hospital for further investigation, and contrast-enhanced chest computed tomography (CT) was performed. Chest CT showed aortic dissection from the ascending aorta to the aortic arch. Therefore, he was admitted for bed rest with antihypertensive therapy. He was discharged on the 35th day after the accident. However, the diameter of the ascending aorta was found to have become dilated, and so he underwent ascending aorta and hemiarch replacement at our hospital. His postoperative course was uneventful, and he was discharged on the 16th postoperative day. We report a rare case of an acute aortic dissection caused by blunt chest trauma.
