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Delayed presentation of posttraumatic aortic false aneurysm with chronic cough
Samad Ghaffari1, Rezayat Parvizi, Leili Pourafkari
1Cardiovascular Research Department, Tabriz University of Medical Sciences, Tabriz, Iran.
The American Journal of the Medical Sciences
|October 31, 2009
Summary
A chronic false aneurysm of the descending aorta in a young man, caused by a prior car accident, was successfully treated with surgery. This intervention resolved his chronic cough and led to a symptom-free recovery.
Area of Science:
- Cardiovascular Surgery
- Trauma Surgery
- Vascular Surgery
Background:
- Posttraumatic false aneurysms are rare but serious complications following blunt chest trauma.
- Delayed presentation of aortic aneurysms can lead to significant morbidity.
Observation:
- A 19-year-old male presented with chronic cough 8 months after a car accident.
- Chest roentgenogram revealed a mediastinal mass, prompting further investigation.
- Aortography and CT scan confirmed a false aneurysm of the descending aorta.
Findings:
- Surgical resection of the false aneurysm and graft replacement were performed.
- The patient experienced complete resolution of his chronic cough post-operatively.
- At 5-year follow-up, the patient remained asymptomatic and well.
Implications:
- Early diagnosis and surgical intervention are crucial for managing chronic posttraumatic aortic aneurysms.
- Successful graft replacement offers a durable solution for descending aorta false aneurysms.
- This case highlights the importance of considering vascular injury in patients with delayed symptoms after trauma.
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