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Traumatic Thoracic Aortic Injury in a Three-Year-Old Patient: A Case Report
Tarfah AlSayyari1, Zahra Almatar2, Abdulaziz AlShomar3
1College of Medicine/Surgery, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU.
Cureus
|February 1, 2023
Summary
Pediatric traumatic aortic injury is complex. This case report details the successful surgical repair of a three-year-old boy's traumatic thoracic aortic pseudoaneurysm using a Dacron graft, highlighting open repair as a viable option.
Area of Science:
- Cardiovascular Surgery
- Pediatric Traumatology
- Vascular Surgery
Background:
- Traumatic aortic rupture in children presents unique management challenges.
- Treatment options include open repair, endovascular stent grafts, and anti-impulse therapy.
- Open repair remains the established standard for pediatric traumatic aortic injury.
Observation:
- A three-year-old boy sustained an acute traumatic thoracic aortic pseudoaneurysm with mediastinal hematoma.
- The patient's condition required immediate and effective surgical intervention.
- This case highlights a specific instance of pediatric aortic trauma.
Findings:
- Successful surgical repair was achieved using a Dacron graft and anastomosis.
- The patient survived the traumatic injury and subsequent repair.
- This demonstrates the efficacy of open surgical repair in complex pediatric cases.
Implications:
- Open surgical repair is a critical and effective treatment for pediatric traumatic aortic pseudoaneurysms.
- This case reinforces the importance of surgical expertise in managing pediatric aortic injuries.
- Further research into optimal management strategies for traumatic aortic injuries in children is warranted.
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