Managment of a Multiinjured Patient with Blunt Thoracic Aortic Injury in the Endovascular Era
A 19-year-old female was admitted to casualty following a road traffic collision. A witness of the incident reported that she was driving her car at approximately 70 km/h in wet conditions and the car skidded off the road when she turned a sharp bend. She collided with a tree and there were no other passengers involved. She was found in her severely damaged car, drowsy and restrained by her seat belt and the dashboard. The car windscreen had a “bulls-eye” on the driver’s side and she had a laceration to her forehead, which was bleeding profusely. She complained of difficulty in breathing and pain in her chest, abdomen and an obviously deformed right leg. The paramedics attended the scene with the fire-service who helped extricate her form the wreckage then carefully immobilized her cervical spine.
She was immediately transported by helicopter to the nearest emergency department. There she was treated by the duty surgical trauma team.
We would like to thank Dr. Nicos Fotiadis (Consultant Interventional Radiologist The Royal Marsden Hospital) who provided the images for this chapter.
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