title: Thoracic aortic dissection with renal artery involvement following blunt thoracic trauma: case report.
abstract: Blunt thoracic aortic injury most often occurs beyond the left subclavian artery with subsequent transection and exsanguination. We present a case of an unrestrained driver involved in a high-speed motor vehicle crash who had a traumatic mid-thoracic aortic dissection involving the orifices of both renal arteries, resulting in anuria. This diagnosis should be considered in the presence of anuria following chest trauma.
authors.affiliation: Department of Surgery, Brigham and Women's Hospital, Boston, MA 02115.
authors.forename: J D
authors.initials: JD
authors.lastname: Gates
authors.forename: D G
authors.initials: DG
authors.lastname: Clair
authors.forename: D H
authors.initials: DH
authors.lastname: Hechtman
mesh_terms: D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000209:etiology*; D001807:Blood Vessel Prosthesis; D005260:Female; D006801:Humans; D008875:Middle Aged; D009102:Multiple Organ Failure; D011859:Radiography; D012078:Renal Artery Obstruction / Q000209:etiology* / Q000601:surgery; D013898:Thoracic Injuries / Q000150:complications*; D013927:Thrombosis / Q000209:etiology* / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000150:complications*