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Complex, traumatic rupture of the thoracic aorta in a child: diagnostic findings and delayed surgery

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Abstract.

We report the unusual case of a 4-year-old girl with traumatic aortic rupture. A conventional chest X-ray showed an enlarged mediastinum. Spiral CT and transthoracic echocardiography demonstrated a mediastinal hematoma, bilateral pleural effusion, and a rupture of the aortic arch. Semi-elective surgery, 4 days after the accident, confirmed rupture of the aortic arch with dislocation of the left carotid artery and the Ductus of Botalli. The vessels were subsequently repaired without complication. After a follow-up of 10 months, the child has fully recovered.

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Authors and Affiliations

  1. Department of Radiology, DRNN, Inselspital, University of Bern, Freiburgstrasse, 3010 Bern, Switzerland, Switzerland

    Tanja Dörnhöfer, Hans-Peter Dinkel & Peter Vock

  2. Department of Cardiac Surgery, University of Bern, Freiburgstrasse, 3010 Bern, Switzerland, Switzerland

    Thierry Carrel

  3. Department of Pediatric Cardiology, University of Bern, Freiburgstrasse, 3010 Bern, Switzerland, Switzerland

    Jean-Pierre Pfammatter

Authors
  1. Tanja Dörnhöfer
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  2. Hans-Peter Dinkel
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  3. Thierry Carrel
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  4. Jean-Pierre Pfammatter
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  5. Peter Vock
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Dörnhöfer, T., Dinkel, HP., Carrel, T. et al. Complex, traumatic rupture of the thoracic aorta in a child: diagnostic findings and delayed surgery. Eur Radiol 12, 1459–1462 (2002). https://doi.org/10.1007/s003300101106

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  • DOI: https://doi.org/10.1007/s003300101106

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