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[A case of total arch replacement for traumatic aortic arch rupture]
K Ikeda1, K Takarabe, I Yoshizumi
1Department of Thoracic and Cardiovascular Surgery, Saga Medical School, Japan.
[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai
|June 1, 1997
Summary
A traumatic aortic arch rupture was successfully treated with total arch replacement. Transesophageal echocardiography (TEE) aided in the immediate diagnosis of this rare injury.
Area of Science:
- Cardiovascular Surgery
- Trauma Surgery
- Diagnostic Imaging
Background:
- Blunt chest trauma can cause life-threatening aortic injuries.
- Aortic arch rupture is a rare but severe consequence of chest trauma.
- Prompt diagnosis and surgical intervention are critical for survival.
Observation:
- A 64-year-old woman sustained an aortic arch rupture from blunt chest trauma.
- Initial presentation included shock, cardiac tamponade, rib fractures, and mediastinal widening.
- Chest CT revealed aortic arch hematoma, and TEE identified an intimal flap.
Findings:
- Emergency surgery involved hypothermic circulatory arrest and selective cerebral perfusion.
- Extensive intimal disruption necessitated a total aortic arch replacement.
- Transesophageal echocardiography proved crucial for rapid and accurate diagnosis.
Implications:
- This case represents the first successful total arch replacement for traumatic aortic arch rupture.
- Highlights the importance of advanced imaging in diagnosing aortic injuries.
- Demonstrates the feasibility of complex aortic reconstruction in acute trauma settings.