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Damage Control Resuscitation of a Patient With Traumatic Aortic Rupture: A Case Report.
Christopher Heiss1, Luiz Foernges2, Debra Minzola3
1is a staff CRNA at Geisinger Medical Center in Danville, Pennsylvania and has functioned throughout the continuum of prehospital, emergency, and surgical critical care. He has special interests in cardiovascular and trauma anesthesia.
AANA Journal
|February 4, 2020
Summary
Traumatic aortic rupture (TAR) is a severe injury from blunt force, often caused by car accidents. Prompt surgical intervention for this aortic tear is crucial for survival.
Area of Science:
- Cardiovascular Surgery
- Trauma Surgery
- Emergency Medicine
Background:
- Traumatic aortic rupture (TAR) is a life-threatening injury caused by blunt deceleration forces.
- The mechanism involves shearing forces damaging the descending aorta due to differential movement between the ascending aorta and the fixed descending aorta.
Observation:
- A characteristic clinical triad includes hypertension in upper extremities, hypotension in lower extremities, and widened mediastinum on chest radiography.
- This case report details the intraoperative management of an elderly female patient with TAR after a motor vehicle collision.
Findings:
- Early identification of TAR signs and symptoms is critical for timely intervention.
- Damage control surgery is essential to reduce morbidity and mortality associated with traumatic aortic rupture.
Implications:
- This case highlights the importance of recognizing TAR in trauma patients, even in remote settings.
- Effective intraoperative management can improve outcomes for patients suffering traumatic aortic rupture.
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