[Increased association of cardiac and thoracic vascular lesions after closed trauma of the thorax].
The association of a cardiac and a thoracic vascular lesion following blunt trauma seems real based on our experience and other published reports. Over the last 4 years, we have operated upon 3 patients with this association. The cardiac lesions included severe myocardial contusion (documented by electrocardiographic and enzymatic changes), a tear of the aortic valve, and occlusion of a coronary artery. The vascular lesions consisted in rupture of the aortic isthmus in 2 patients and traumatic pseudoaneurysm of the innominate artery. This association justifies a detailed cardiovascular evaluation in any case of severe cardiac or thoracic vascular lesion.
Pretre
R
R
Département de Chirurgie, Hôpital Cantonal Universitaire, Geneve, Suisse.
Murith
N
N
Faidutti
B
B
D000059:Accidents; D000060:Accidents, Aviation; D000063:Accidents, Traffic; D000328:Adult; D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001013:Aorta, Thoracic / Q000293:injuries / Q000601:surgery; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D003327:Coronary Disease / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D011859:Radiography; D013898:Thoracic Injuries / Q000150:complications*; D014949:Wounds, Nonpenetrating
Association accrue de lésion cardiaque et vasculaire thoracique après traumatisme fermé du thorax.