Document Detail

Concomitant aortic valve and internal mammary artery injuries in blunt chest trauma: report of a case.
MedLine Citation:
PMID:  19779776     Owner:  NLM     Status:  MEDLINE    
We report a case of concomitant injury to the aortic valve and internal mammary artery (IMA) from nonpenetrating chest trauma. To our knowledge, this is the first such case to be reported. Transcatheter arterial embolization (TAE) following diagnostic angiography offers an effective and minimally invasive treatment for traumatic IMA injuries. Because there might be an asymptomatic interval after traumatic aortic valve injuries, serial physical examinations and repeated echocardiography should be mandatory for patients with de novo heart failure after blunt chest trauma. Transesophageal echocardiography can provide a clearer image of cardiac injuries than transthoracic echocardiography, particularly if there is extensive anterior mediastinal hematoma resulting from IMA trauma.
Chun-Chieh Yeh; Chi-Hsun Hsieh; Yu-Chun Wang; Ping-Kuei Chung; Ray-Jade Chen
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-09-24
Journal Detail:
Title:  Surgery today     Volume:  39     ISSN:  1436-2813     ISO Abbreviation:  Surg. Today     Publication Date:  2009  
Date Detail:
Created Date:  2009-09-25     Completed Date:  2009-12-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  790-4     Citation Subset:  IM    
Department of Surgery, China Medical University Hospital, Trauma and Emergency Center, Taichung, Taiwan.
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MeSH Terms
Aortic Valve / injuries*
Echocardiography, Transesophageal
Embolization, Therapeutic*
Heart Injuries / surgery*,  ultrasonography
Heart Valve Prosthesis Implantation*
Mammary Arteries / injuries*
Multiple Trauma / diagnosis,  therapy
Wounds, Nonpenetrating / surgery*,  ultrasonography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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