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Open Access 01-12-2022 | Aortic Rupture | Case Report

Hybrid surgery for blunt aortic injury with rupture: a case report

Authors: Takaaki Maruhashi, Hideo Maruki, Toshiaki Mishima, Tadashi Kitamura, Yutaro Kurihara, Marina Oi, Yuichi Kataoka, Kagami Miyaji, Yasushi Asari

Published in: Journal of Cardiothoracic Surgery | Issue 1/2022

Abstract

Background

Blunt thoracic aortic injury is one of the most lethal traumatic injuries. Ruptured cases often result in cardiac arrest before arrival at the hospital, and survival is rare.

Case presentation: A female patient in her 30 s was struck by an automobile while she was walking across an intersection. She was in a state of shock when emergency services arrived and was in cardiac arrest shortly after arriving at the hospital. A left anterolateral thoracotomy revealed a massive hemothorax secondary to thoracic aortic rupture. In addition, the patient had multiple traumas, including maxillary, pelvic, and lumbar burst fractures. We attempted to directly suture the aortic lesion; however, the increasing blood pressure caused the suture to break. We used a thoracic stent graft while ensuring permissive hypotension. Her postoperative prognosis was positive, and she was transferred to another hospital 85 days later.

Conclusions

We successfully performed a hybrid surgery combining thoracotomy and endovascular repair for this emergency case of blunt thoracic aortic injury with rupture.

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Title: Hybrid surgery for blunt aortic injury with rupture: a case report
Authors: Takaaki Maruhashi
Hideo Maruki
Toshiaki Mishima
Tadashi Kitamura
Yutaro Kurihara
Marina Oi
Yuichi Kataoka
Kagami Miyaji
Yasushi Asari
Publication date: 01-12-2022
Publisher: BioMed Central
Keywords: Aortic Rupture
Computed Tomography
Polytrauma
Computed Tomography
Hypotension
Hemothorax
Polytrauma
Thoracotomy
Hypotension
Published in: Journal of Cardiothoracic Surgery / Issue 1/2022
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-022-02060-w

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Hybrid surgery for blunt aortic injury with rupture: a case report

Abstract

Background

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Conclusions

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