[A surgical case of aortic dissection Stanford type A caused by blunt chest trauma--a report of a successful case].
A case of successfully repaired traumatic aortic dissection was reported. A 66-year-old woman with a blunt chest trauma from the car accident was transferred to our hospital. The radiological examination revealed Stanford type A aortic dissection without aortic regurgitation. Because of disturbance of consciousness and respiratory failure due to the associated blunt lung injury, she was treated in the intensive care unit, and, after 1 month, a graft replacement of the ascending aorta by using deep hypothermia with retrograde cerebral perfusion was carried out. The postoperative course was uneventful. Blunt chest trauma is very rare to cause aortic dissection, and the operative indication should be determined with careful consideration of the associated organ injuries.
Uematsu
M
M
Department of Surgery, Kobe University School of Medicine, Japan.
Okada
M
M
Yoshimura
N
N
Azami
T
T
Ataka
K
K
Yamashita
C
C
D000784:Aortic Dissection / Q000209:etiology / Q000601:surgery*; D001014:Aortic Aneurysm / Q000209:etiology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D005260:Female; D006801:Humans; D055370:Lung Injury; D008875:Middle Aged; D014949:Wounds, Nonpenetrating / Q000150:complications*