Skip to main content
SpringerLink
Log in

A case of complete circumferential aortic rupture due to blunt chest trauma

  • Case Report
  • Published:
The Japanese Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

A case of complete circumferential rupture of the thoracic aorta due to blunt chest trauma is presented. A 30-year-old man was admitted after a traffic accident. The admission chest X-ray film demonstrated mediastinal widening. About 6 hours after the traffic accident, chest CT scanning demonstrated mediastinal hematoma, left pleural effusion and partial aortic dissection. Diagnoses of aortic rupture and liver injury were made, and surgery for the thoracic aorta was performed immediately. The aorta was found to be completely disrupted for the length of 2 cm, and a vascular prosthesis was interposed between the two ends of the aorta under pairtial cardiopulmanary bypass. We conclude that the enhanced chest CT scanning is helpful for diagnosis, and that if other organ injuries are not severe, the emergency operation should be performed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. 45: 138–144, 1992

  2. 32: 589–594, 1979

  3. 44: 1405–1409, 1983

  4. 1. 32: 818, 1984

  5. 1. 46: 1395–1396, 1985

  6. 4. 34: 920–925, 1986

  7. 11: 1893–1902, 1987

  8. 11: 579–586, 1987

  9. 1. 38: 1475–1478, 1990

  10. 1. 44: 965–968, 1991

  11. 54: 154–159, 1992

  12. 1. 40: 1918–1922, 1992

  13. Parmaley LF, Mattingly TW, Maniin WC, Jahnke EJ Jr: Nonpenetrating traumatic injury of the aorta. Circulation 17: 1086–1101, 1958

    Google Scholar 

  14. Kirsh MM, Behrendt DM, Orringer MB, Gago O, Gray LA Jr, MillsL LJ, Walter JF, Sloan H: The treatment of acute traumatic rupture of the aorta. A 10-year experience. Ann Surg 184: 308–316, 1976

    Article  PubMed  CAS  Google Scholar 

  15. Marsh DG, Sturm JT: Traumatic aortic rupture. Roenrogenographic indication for angiography. Ann Thorac Surg 21: 337–340, 1976

    Article  PubMed  CAS  Google Scholar 

  16. Turney SZ, Attar S, Ayella R, Cowley RA, McLaughlin J: Traumatic rupture of the aorta. A five-year experience. J Thorac Cardiovasc Surg 72: 727–734, 1976

    PubMed  CAS  Google Scholar 

  17. Akins CW, Burckly MJ, Daggett W, McIlduff JB, Austen WG: Acute traumatic disruption of the thoracic aorta. A 10 year experience. Ann Thorac Surg 31: 305–309, 1980

    Article  Google Scholar 

  18. 1. 46: 1056–1058, 1993.

  19. 48: 212–216, 1995

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, Shinsyu University School of Medicine, Matsumoto, Japan

    Tetsuya Kono, Hirofumi Nakano, Hirohisa Goto, Tsuneo Nakajima & Jun Amano

Authors
  1. Tetsuya Kono
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hirofumi Nakano
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Hirohisa Goto
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Tsuneo Nakajima
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Jun Amano
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kono, T., Nakano, H., Goto, H. et al. A case of complete circumferential aortic rupture due to blunt chest trauma. Jpn J Thorac Caridovasc Surg 46, 1000–1003 (1998). https://doi.org/10.1007/BF03217862

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03217862

Keywords

Search

Navigation