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Acute aortic dissection after blunt chest trauma

J S Gammie1, W E Katz, E R Swanson

  • 1Department of Surgery, University of Pittsburgh Medical Center, Pennsylvania, USA.

The Journal of Trauma
|January 1, 1996
PubMed
Summary

Blunt trauma can rarely cause medial aortic dissection, a tear in the aorta

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Area of Science:

  • Cardiology
  • Trauma Surgery

Background:

  • Medial aortic dissection is a rare complication of blunt chest trauma.
  • Aortic dissection involves a tear in the inner layer of the aorta, leading to blood flow between the layers of the aortic wall.

Observation:

  • A 79-year-old woman sustained blunt trauma from a motor vehicle crash.
  • She presented with an acute DeBakey type I aortic dissection.

Findings:

  • The case highlights a rare instance of medial aortic dissection following blunt force injury.
  • DeBakey type I dissection involves the ascending aorta and aortic arch.

Implications:

  • This case underscores the importance of considering aortic injury in patients with blunt trauma, regardless of age.
  • Prompt diagnosis and management are crucial for improving outcomes in traumatic aortic dissection.

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