Une complication grave de la ponction sternale : la plaie de l’aorte thoracique ascendante

Autor: J. Jarry, J.-P. Perez, R. Jancovici, O. Berets, R. Barthelemy, L. Lang-Lazdunski
Rok vydání: 2004
Předmět:
Zdroj: La Presse Médicale. 33:22-24
ISSN: 0755-4982
DOI: 10.1016/s0755-4982(04)98467-9
Popis: INTRODUCTION Penetrating thoracic aorta wounds are rare but responsible for a high mortality when medical and surgical management is delayed. OBSERVATION We report the case of a 71 year-old patient with malignant lymphoma who sustained an accidental penetrating injury of the ascending thoracic aorta while undergoing trephine biopsy of the sternum. He was successfully treated with emergency sternotomy and aortic suture-repair. CONCLUSION This case report highlights the limits of sternal trephine biopsy, notably in patients whose bones are weakened by a malignant haematological process, and proposes preventive measures in order to avoid accidents.
Databáze: OpenAIRE