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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
PubMed

Insights

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.

Keywords:
aortic injuryaortic traumablunt thoracic traumapediatrictraumatic aortic injury

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