J Korean Soc Traumatol.
2018 Aug;31(2):66-71. 10.20408/jti.2018.31.2.66.
Endovascular Salvage for Traumatic Midthoracic Aortic Rupture with Left Diaphragmatic Injury
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, Daegu, Korea.
- 2Department of Thoracic and Cardiovascular Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, Korea.
- 3Department of Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, Korea. drlimkh@knu.ac.kr
- KMID: 2437264
- DOI: http://doi.org/10.20408/jti.2018.31.2.66
Abstract
- Patients with traumatic aortic rupture rarely reach the hospital alive. Even among those who arrive at the hospital alive, traumatic aortic rupture after high-speed motor vehicle accidents leads to a high in-hospital mortality rate and is associated with other major injuries. Here, we report a rare case of descending midthoracic aortic rupture with blunt diaphragmatic rupture. Successful management with emergency laparotomy after an immediate endovascular procedure resulted in a favorable prognosis in this case.
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