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Patent ductus arteriosus masquerading as aortic transection in a trauma victim
William Travis Lau1, David K M Wong, Henry W Louie
1Department of Surgery, University of Hawaii, Honolulu, Hawaii, USA.
Abstract:
A high-speed motorcycle crash is a risk factor for thoracic aortic injury due to the rapid deceleration mechanism. We present a previously healthy 44-year-old man who was involved in a motorcycle accident. Initial spiral computed tomography indicated an intimal flap, which was visualized with evidence of mediastinal hemorrhage. The man was taken emergently to the operating room where a patent ductus arteriosus was seen at the location of the suspected aortic injury. No true aortic injury was appreciated.
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