Traumatic disruption of a right aortic arch.
This is the first reported case of a traumatic disruption of the thoracic aorta occurring in a patient with a right aortic arch. This unique case emphasizes the need to be aware of the possibility of a traumatic aneurysm even under unusual anatomical circumstances, and the necessity for early aortography. It further emphasizes that aortic fixation by the ligamentum arteriosum is a major factor in the genesis of traumatic injuries of the thoracic aorta, and establishes the benefit of a right lateral thoracotomy in providing excellent surgical exposure.
D000328:Adult; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000293:injuries; D001019:Aortic Rupture / Q000000981:diagnostic imaging* / Q000601:surgery; D001027:Aortography; D005260:Female; D006801:Humans; D013348:Subclavian Artery / Q000002:abnormalities