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[Thoracic aortic transection following blunt trauma: two case reports]
Fikri Yapici1, Aybanu Gqkçen Tuygun, Arif Tarhan
1Siyami Ersek Hastanesi Kalp ve Damar Cerrahisi Kliniği.
Summary
Acute aortic transection, a severe blunt trauma complication, often goes undiagnosed due to other injuries. Early consideration and prompt surgical intervention, like graft interposition, are crucial for survival in these critical cases.
Area of Science:
- Cardiovascular Surgery
- Trauma Surgery
- Emergency Medicine
Background:
- Acute aortic transection following blunt trauma presents a significant diagnostic challenge.
- High mortality rates are associated with this condition, often due to delayed or missed diagnoses.
- Survivors frequently have incidental findings, highlighting the need for heightened clinical suspicion.
Observation:
- Two cases of AAT resulting from falls (suspected suicide attempts) were successfully diagnosed and treated.
- Patients presented with blunt trauma, necessitating a high index of suspicion for AAT.
Findings:
- Surgical repair involved end-to-end graft interpositions.
- Bypass techniques utilized included left atrio-femoral bypass and femoro-femoral bypass.
Implications:
- Comprehensive systemic examinations are vital for all blunt trauma patients.
- Physicians must maintain vigilance for potential aortic transection or dissection in trauma evaluations.