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Post-traumatic pseudoaneurysm of the descending aorta
Izadmehr Ahmadinejad1, Mojtaba Ahmadinejad2, Ali Soltanian2
1Students' Scientific Research Center, Tehran University of Medical Science, Tehran, Iran.
Trauma Case Reports
|April 10, 2024
Summary
Delayed diagnosis of traumatic aortic injury is rare but serious. This case highlights a descending aortic pseudoaneurysm presenting weeks after blunt chest trauma, successfully treated with endovascular repair.
Area of Science:
- Cardiovascular Surgery
- Trauma Surgery
- Vascular Surgery
Background:
- High-energy deceleration injuries frequently cause thoracic aortic damage, often leading to high mortality rates.
- Delayed detection of traumatic aortic injuries occurs in only 2-5% of long-term survivors.
- Pseudoaneurysms are rare but life-threatening complications of thoracic aortic trauma.
Observation:
- A female patient presented with chronic severe cough and vocal hoarseness 45 days post-blunt chest trauma.
- Initial diagnostic workup did not reveal the underlying aortic injury.
- The patient's symptoms were attributed to a developing pseudoaneurysm of the descending aorta.
Findings:
- A rare case of descending aortic pseudoaneurysm was diagnosed weeks after initial blunt chest trauma.
- The pseudoaneurysm was successfully treated with endovascular intervention.
- This case underscores the potential for delayed presentation of traumatic aortic injuries.
Implications:
- Delayed diagnosis of traumatic aortic injuries can lead to severe complications.
- Endovascular repair offers a viable treatment option for descending aortic pseudoaneurysms.
- Increased clinical vigilance is crucial for identifying subtle presentations of traumatic aortic injuries.
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