Thoracic aortic transection resulting in a type B dissection following blunt trauma.
| Autor: | Fogleman L; Emergency Medicine, LSU Health Baton Rouge, Baton Rouge, Louisiana, USA., Caffery T; Emergency Medicine, LSU Health Baton Rouge, Baton Rouge, Louisiana, USA., Gruner J; Trauma Specialist Program, Our Lady of the Lake Regional Medical Center, Baton Rouge, Louisiana, USA., Tatum D; Division of Academic Affairs, Our Lady of the Lake Regional Medical Center, Baton Rouge, Louisiana, USA. |
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| Jazyk: | angličtina |
| Zdroj: | BMJ case reports [BMJ Case Rep] 2017 Nov 23; Vol. 2017. Date of Electronic Publication: 2017 Nov 23. |
| DOI: | 10.1136/bcr-2016-218766 |
| Abstrakt: | A 39-year-old man sustained an acute grade III aortic injury resulting in a type B aortic dissection in the setting of severe traumatic brain injury, cervical spine injury and multiple orthopaedic injuries following a motorcycle crash. The patient underwent an emergent thoracic endovascular aortic repair, complicated by a thoracic pseudoaneurysm rupture and ongoing exsanguination from a persistent type 1 endoleak. Additional stent grafts were required to gain control of the endoleak. The patient ultimately progressed to brain death post procedure in the intensive care unit. This case reviews treatment considerations in the context of a blunt thoracic aortic transection and distal dissection with concomitant polytrauma. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.) |
| Databáze: | MEDLINE |
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