Rupture of the Descending Thoracic Aorta Caused by Blunt Chest Trauma: Report of a Case

Iyoda, Akira; Satoh, Nobumasa; Yamakawa, Hisami; Fujino, Michio; Hiroshima, Kenzo; Fujisawa, Takehiko

doi:10.1007/s00595-003-2590-7

Cited by 15 publications

(7 citation statements)

References 6 publications

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“…Some intriguing cases of late-onset aortic injury after traumatic rib fractures have been reported [7][8][9][10]. The patients in all the cases developed aortic injury a few days after the onset of trauma and led to the diagnosis of direct aortic puncture by a fractured bone, which was supported by the operative findings.…”

Section: Discussionmentioning

confidence: 85%

“…Similarly, from a case of acute‐onset fatal subclavian artery rupture associated with isolated clavicle fracture due to accidental injury while blading , we should bear in mind that bone fragments can result in vascular injury. Therefore, even if most rib fractures can be managed conservatively, we should suggest rib fixation surgery or the resection of the rib edges , especially when the shape of the fractured bone seems at a high risk of vascular injury.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Fatal delayed rupture of the subclavian artery in a patient with first‐rib fracture caused by blunt trauma

Yonezawa

Nakayama

Takei

et al. 2017

Clinical Case Reports

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Fatal delayed rupture of the subclavian artery in a patient with first‐rib fracture caused by blunt trauma

Yonezawa

Nakayama

Takei

et al. 2017

Clinical Case Reports

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“…Some intriguing cases of late-onset aortic injury after traumatic rib fractures have been reported [1][2][3][4]. The patients in all the cases developed vascular injury a few days after the onset of trauma and led to the diagnosis of direct aortic puncture by a fractured bone, which was supported by the operative findings.…”

Section: Discussionmentioning

confidence: 89%

“…Physicians should bear in mind that bone fragments can result in vascular injury and even if most rib fractures can be managed conservatively, we should suggest rib fixation surgery or the resection of the rib edges, especially when the shape of the fractured bone seems at a high risk of vascular injury [2][3][4][5][6].…”

Section: Discussionmentioning

confidence: 99%

Atypical Traumatic of Pulmonary Artery after Rib Fractures

Hammoumi¹,

Kabiri²

2017

Pulm Crit Care Med

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A 42-year-old patient without notable history, the victim of a highway accident (pedestrian struck by a truck). Admitted to the emergency for severe chest trauma; on admission, the patient was conscious, polypneic, with abdominal breathing, hemodynamically stable. After setting condition, a chest radiograph performed showed left rib fractures with a dissociated fragment from the chest wall, a left fractured scapula and soft parenchymal opacities (Figure 1).The Chest CT objectified multiple storied rib fractures of 2nd to 5th left costal arch with a bone fragment in the endothoracic position threatening pulmonary artery, a moderate left pleural effusion, a basement filling with left lung collapse (Figure 2 and 3). A left thoracic drainage extracted 500cc of blood. The fracture of the scapula was managed by orthopedic treatment. After three days of monitoring in surgical reanimation, the patient respiratory evolution was severe with desaturation to 73%. The arterial gazometry showed a pH to 7.43, a Pa O2 to 34 mmHg and PaCO2 to 39, 4mmhg. wich posed the indication of intubation with assisted ventilation to normalize gasometry results. Furthermore the patient showed signs of pulmonary infection (T°: 38.2, purulent secretions, WBC: 16400 e/mm 3 , CRP: 237 mg/l). Protected distal samples were made and the patient received an antibiotherapy (Amikacin (1g/24h) + Ceftazidime (1 g/6H)) according to the results of the antibiogram with good clinical and biological evolution. The patient had also respiratory physical therapy with daily tracheal aspirations. At the 5th day the patient was extubated and the chest tube removed.

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“…9,10 Angiography was performed in case 2 to exclude vascular injury, yet perusal of the literature shows that concomitant vascular injury with thoracolumbar fracture is indeed rare. Aortic injuries have been described in association with ankylosing spondylitis, 11,12 with blunt chest trauma 13 and with stab injuries to the spinal cord and chest. 14 In the former case this may be related to associated aortitis-predisposing potential vascular injury.…”

Section: Discussionmentioning

confidence: 99%