Document Detail

Visceral ischemia caused by acute aortic dissection following blunt aortic injury: report of a case.
MedLine Citation:
PMID:  21551969     Owner:  NLM     Status:  MEDLINE    
The diagnosis and management of blunt thoracic aortic injuries have seen significant changes over the last decade. The purposeful delay of definitive repair by aggressive blood pressure management has been suggested to be safe, and deliberate nonoperative management may be a reasonable alternative in selected patients with minimal aortic injuries detected with contrast-enhanced computed tomography. We report a case of acute aortic dissection due to blunt thoracic aortic injury resulting in splanchnic ischemia, for which we selected primarily nonoperative management, because the aortic tear was small but was complicated by multiple trauma. Although acute aortic dissection is an uncommon presentation of blunt injuries of the thoracic aorta and the poor prognosis has not been adequately emphasized, close observation, to evaluate the dissection and to determine whether splanchnic ischemia has developed, is recommended for patients for whom delayed definitive repair or nonoperative management has been selected.
Shigeki Kushimoto; Shin-ichiro Shiraishi; Masato Miyauchi; Reo Fukuda; Tomohiko Masuno; Hiroyuki Yokota
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of Nippon Medical School = Nippon Ika Daigaku zasshi     Volume:  78     ISSN:  1347-3409     ISO Abbreviation:  J Nippon Med Sch     Publication Date:  2011  
Date Detail:
Created Date:  2011-05-09     Completed Date:  2012-02-03     Revised Date:  2012-09-25    
Medline Journal Info:
Nlm Unique ID:  100935589     Medline TA:  J Nippon Med Sch     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  110-5     Citation Subset:  IM    
Division of Emergency Medicine, Tohoku University Graduate School of Medicine, Tokyo, Japan.
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MeSH Terms
Aneurysm, Dissecting / complications*,  radiography
Aortic Aneurysm / complications*,  radiography
Fatal Outcome
Ischemia / etiology*,  radiography
Middle Aged
Radiography, Thoracic
Tomography, X-Ray Computed
Viscera / blood supply*,  radiography
Wounds, Nonpenetrating / complications*,  radiography

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