Document Detail


Traumatic pseudoaneurysm from the aorta to the left common carotid artery presenting as widened mediastinum.
MedLine Citation:
PMID:  17013490     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Diagnosis of pseudoaneurysm of the aorta or its main branches is a challenge in patients with blunt chest trauma. Computed tomography helps to demonstrate intrathoracic hemorrhage and suspected great vascular injury when a chest radiograph reveals widening of the mediastinum. Aortic angiography remains the gold standard in the determination of the site, and severity of vascular injury for definitive surgical intervention. Timing of surgical repair is controversial. Delayed repair of traumatic pseudoaneurysm of the aorta after primary control of associate injuries decreases mortality significantly, thus improving prognosis. We report a case of successful repair of a traumatic pseudoaneurysm of the aortic arch with extension to the left common carotid artery in an 18-year-old female patient. The diagnosis, surgical approaches, and timing of operation are discussed along with case presentation.
Authors:
Shih-Yi Chen; Hung Chang; Shih-Chun Lee; Hsian-He Hsu; Ching Tzao
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Saudi medical journal     Volume:  27     ISSN:  0379-5284     ISO Abbreviation:  Saudi Med J     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-10-02     Completed Date:  2007-10-30     Revised Date:  2008-06-23    
Medline Journal Info:
Nlm Unique ID:  7909441     Medline TA:  Saudi Med J     Country:  Saudi Arabia    
Other Details:
Languages:  eng     Pagination:  1591-3     Citation Subset:  IM    
Affiliation:
Division of Thoracic Surgery, Department of Surgery, National Defense Medical Center, Taipei, Taiwan, ROC.
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MeSH Terms
Descriptor/Qualifier:
Accidents, Traffic
Adolescent
Aneurysm, False / radiography,  surgery*
Aorta
Aortic Aneurysm / radiography,  surgery*
Carotid Artery, Common / radiography,  surgery*
Coronary Angiography
Female
Humans
Mediastinum / injuries*,  radiography*
Thoracic Injuries / radiography*
Wounds, Nonpenetrating / radiography

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


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