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Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
[Traumatic aortic rupture and concomitant type B aortic dissection after skiing accident].
D Jost1, T Schachner, C Czuprin
1Klinik für Gefäßchirurgie, Katharinenhospital, Klinikum Stuttgart, Kriegsbergstraße 60, 70174, Stuttgart, Deutschland, d.jost@klinikum-stuttgart.de.
Der Unfallchirurg
|March 14, 2013
Summary
Aortic rupture and type B dissection are rare after blunt trauma, as seen in a skier. Prompt diagnosis via CT angiography and endovascular repair led to a stable outcome, avoiding complications.
Area of Science:
- Traumatology
- Cardiovascular Surgery
- Radiology
Background:
- Aortic dissection and rupture are well-documented complications following deceleration trauma.
- However, aortic injuries secondary to blunt thoracic trauma remain exceptionally rare.
Observation:
- A case is presented of a skier experiencing blunt thoracic trauma.
- The patient developed an acute aortic rupture with a type B dissection and renal contusion.
- Hematuria, presenting 12 hours post-injury, was the primary symptom.
Findings:
- Computed tomography (CT) angiography was crucial for accurate diagnosis.
- The patient underwent successful acute thoracic endovascular aortic repair.
- The intervention resulted in a stable clinical condition.
Implications:
- This case highlights the importance of considering rare aortic injuries after blunt trauma.
- Timely diagnosis and endovascular repair can prevent severe complications.
- It underscores the utility of advanced imaging in trauma management.
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Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History: