Abstract
Traumatic aneurysm of the ascending aorta is a rare event. This case describes a patient with such an aneurysm, resulting from injuries received in a motorcycle accident. The patient was admitted to the emergency room of a local hospital complaining of chest pain, and was subsequently referred to our institution. On admission, a chest x-ray showed mediastinal widening. Computed tomography and aortography revealed an ascending aortic aneurysm and contusion of the upper lobe of the right lung. Due to concerns about bleeding from the lung contusion, surgery was delayed for one week. During surgery, intimai tears were detected at two sites in the ascending aorta. The wall of the ascending aorta was subsequently resected and a prosthetic graft inserted. The postoperative period was uneventful and a postoperative aortogram showed that the graft had molded well.
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Williams JS, Graff JA, Uku JM, Steinig JP. Aortic injury in vehicular trauma. Ann Thorac Surg 1994; 57: 726–30.
Feczko JD, Lynch L, Pless JE, Clark MA, McClain J, Hawley DA. An autopsy case review of 142 non-penetrating (blunt) injuries of the aorta. J Trauma 1992; 33: 846–9.
Shorr RM, Crittenden M, Indeck M, Hartunian SL, Rodriguez A. Blunt thoracic trauma. Ann Surg 1987; 206: 200–5.
Parmley LF, Mattingly TW, Manion WC, Jahnke EJ. Nonpenetrating traumatic injury of the aorta. Circulation 1958; 17: 1086–101.
Chirillo F, Totis O, Cavarzerani A, Bruni A, Farnia A, Sarpellon M, et al. Usefulness of transthoracic and transesophageal echocariography in recognition and management of cardiovascular injuries after blunt chest trauma. Heart 1996; 75: 301–6.
Shinoka T, Tonimo T, Satoh H, Kuji T, Sasahashi N, Sueshiro M. A case of delayed ascending aortic pseudoaneurysm after traffic injury mimicking cardiac tumor (in Japanese). J Jpn Assn Thorac Surg 1992; 40: 592–5.
Sato T, Arai T, Ishihara A, Obunai Y, Hatsune K, Takayasu S, et al. Traumatic aneurysm of the ascending aorta (in Japanese). Japanese Journal of Thoracic Surgery 1971; 24: 590–5.
Yamada O, Kazui T, Izumiyama O, Ohno T, Tanaka N, Komatsu S. Surgical treatment of traumatic aneurysm of the thoracic aorta (in Japanese). J Jpn Assn Thorac Surg 1981; 29: 1948–54.
Mototake H, Henzan E, Ie T, Maeshiro M, Okada J. Management of ascending aorta, aortic arch and arch vessel injuries (in Japanese). J Jpn Assoc Surg Trauma 1996; 10: 226–30.
Blegvad S, Lippert H, Lund O, Hansen OK, Christensen T. Acute or delayed surgical treatment of traumatic rupture of the descending aorta. J Cardiovasc Surg 1989; 30: 559–64.
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Kudaka, M., Koja, K., Kuniyoshi, Y. et al. Surgical treatment of traumatic aneurysm of the ascending aorta. Jpn J Thorac Caridovasc Surg 47, 87–90 (1999). https://doi.org/10.1007/BF03217948
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DOI: https://doi.org/10.1007/BF03217948