Journal of cardiothoracic surgery · 2026
Successful open repair of blunt traumatic thoracoabdominal aortic injury with concomitant L1/L2 fracture-dislocation.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Kanazawa Yuta, Yoshitake Akihiro, Takaki Shota, Gatate Yuko, Kinoshita Osamu, Asakura Toshihisa
Аннотация
BACKGROUND: Although rare, blunt traumatic aortic injury occurs in the aortic isthmus and rarely in the thoracoabdominal aorta.
CASE PRESENTATION: A 56-year-old man became unconscious after falling from the third floor during a suicide attempt. Computed tomography revealed a thoraco-abdominal aortic injury (pseudo-aneurysm) and a posterior dislocation fracture at L1/L2. Thoraco-abdominal aortic graft replacement was performed 3 d after the injury, and posterior spinal fusion was performed 10 d later.
CONCLUSIONS: Thoracic endovascular aortic repair is usually performed for blunt traumatic aortic injury of the aortic isthmus; however, open surgery is required for blunt traumatic aortic injury of the thoracoabdominal aorta.
CASE PRESENTATION: A 56-year-old man became unconscious after falling from the third floor during a suicide attempt. Computed tomography revealed a thoraco-abdominal aortic injury (pseudo-aneurysm) and a posterior dislocation fracture at L1/L2. Thoraco-abdominal aortic graft replacement was performed 3 d after the injury, and posterior spinal fusion was performed 10 d later.
CONCLUSIONS: Thoracic endovascular aortic repair is usually performed for blunt traumatic aortic injury of the aortic isthmus; however, open surgery is required for blunt traumatic aortic injury of the thoracoabdominal aorta.