Complete thoracic aortic transection from blunt chest trauma.

Flail chest from blunt thoracic trauma.

1 of 2 DESCRIPTION A 56-year-old male smoker sustained non-penetrating leftsided chest trauma, following a 2-m fall onto a fl at-topped wooden post. He was in severe pain and respiratory distress in the Emergency Department, with a dramatic degree of fl ail and marked subcutaneous emphysema (see video 1 ). A left side tube thoracostomy was inserted urgently with marked improvement in respirator...

Blunt Chest Trauma — Suspected Aortic Injury

Aortic Valve Injury Following Blunt Chest Trauma

INTRODUCTION Heart valve injury following blunt chest trauma of car accidents is increasing. Although aortic valve involvement is rare, however, in survivors of blunt cardiac trauma it is the most commonly involved valve and the most frequent valve lesion is isolated injury of the noncoronary cusp of aortic valve. CASE PRESENTATION A 31-year-old man with a history of car accident (five months...

Endovascular repair of a thoracic aortic transection 31 years after blunt trauma

A 46-year-old woman presented with a 3-month history of persistent cough and hoarseness with anterior chest pain. A chest radiograph revealed a large upper lobe mass with obliteration of the left lung field. She soon developed hemoptysis, and computed tomography was performed urgently. This showed a ruptured 13-cm thoracic aortic pseudoaneurysm (A). Further inquiry revealed that she was involve...

Percutaneous endovascular repair of blunt thoracic aortic transection.

BACKGROUND Untreated traumatic aortic transection carries a mortality rate higher than 85%. Standard therapy has been open repair via a left thoracotomy with systemic heparin and is associated with a high risk of paralysis. We reviewed our experience of endoluminal stent-graft repair for treatment of acute traumatic thoracic aortic transection. METHODS Between February 2001 and February 2005,...