Articles: aortic-rupture-etiology.
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A patient presented to our emergency department from another hospital diagnosed with pelvic fracture after a motor vehicle accident. In the ensuing 12 hours, chest pain developed, and a widened mediastinum on chest radiography was found. ⋯ Even though thoracic aortic injuries rarely occur in motor vehicle accidents, thoracic arch ruptures are extremely uncommon. This injury should be suspected after high-speed motor vehicle accidents, when accompanied with chest pain or widened mediastinum.
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J. Korean Med. Sci. · Jun 1997
Case ReportsCardiac tamponade during transesophageal echocardiography in the patient of circumferential aortic dissection.
A 43-year-old woman, whose physical findings were consistent with Marfan's syndrome, presented with acute chest pain. Transthoracic two-dimensional echocardiography demonstrated dilated ascending aorta with a circular shape intimal flap at the root level. ⋯ Although, some investigators recommend TEE as the first choice of diagnostic method of aortic dissection, hemodynamic stability is very important during TEE study. Therefore, aggressive sedation may be required in the case of circumferential dissection of the ascending aorta to prevent the increases of the blood pressure and the heart rate which suggested an extensive tear of the aortic intima during TEE procedure.
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Traumatic thoracic aortic rupture is a rare injury in the pediatric patient. Experiences with thoracic aortic rupture in patients less than 17 years of age are needed to help identify factors that can influence injury occurrence, diagnosis, management, and outcome. ⋯ The multiply injured child with severe blunt trauma and an abnormal chest roentgenogram requires a search for aortic injury. We believe the most effective algorithm to follow for the diagnosis of traumatic thoracic aortic rupture in the child involves selective performance of chest computed tomography and transesophageal echocardiography. Our experience suggests that the mechanism of injury, the duration to diagnosis of an aortic injury, and failure to use seat belts may contribute to morbidity. A high index of suspicion and a systematic approach to the diagnosis and to the management strategy for injuries to the thoracic aorta can contribute to a good outcome in those few children who survive the injury.
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Blunt abdominal trauma resulting in a laceration of the abdominal aorta is extremely rare. Only one previous example of this injury has been reported in a child. We present the clinical course and surgical management of blunt disruption of the infrarenal aorta in a 13-year-old boy with a subsequent delayed rupture of a third aortic laceration. This is the youngest patient to die from this type of injury after blunt abdominal trauma.
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AJR Am J Roentgenol · May 1994
Comparative StudyDiagnosis of injuries of the aorta and brachiocephalic arteries caused by blunt chest trauma: CT vs aortography.
The purpose of this study was to evaluate the role of chest CT in the triage of patients with potential injuries of the aorta and brachiocephalic arteries caused by blunt trauma and to test the value of chest CT scans in limiting the number of screening aortograms. ⋯ The value of chest CT as a preliminary procedure to avoid thoracic aortography in patients with blunt trauma was limited in our series. Chest CT scans with normal findings effectively exclude aortic/brachiocephalic injury; however, only about 25% of our patients had chest CT scans with unequivocally normal findings, and most patients required further evaluation with aortography.