[Multi-organ ischemia due to traumatic lesion of the descending thoracic aorta--a case-report].
This is a case of severe ischemic and reperfusion multi-organ failure due to descending thoracic aortic rupture. A 25 year-old man received a hard blow on his chest in a traffic accident. Chest X-ray, CT scans and aortogram elucidated descending thoracic aortic rupture. Emergency operation was performed 18 hours after the injury. The aortic rupture, 4/5 of the aortic circumference with intact adventitia was seen. The descending aorta 22 distal to the left subclavian artery was repaired under cardio-pulmonary bypass with selective cerebral perfusion. Ischemia due to aortic occlusion with thrombus and reperfusion injury after reconstruction of the aorta connected with rhabdmyolysis and severe multi-organ failure. Intestinal necrosis required laparotomy on the 9th and 15th post operative day. The patient died on 15th postoperative day of multi-organ failure.
Nakamura
N
N
Second Department of Surgery, Kagoshima University School of Medicine.
Arikawa
K
K
Shimokawa
S
S
Toyohira
H
H
Umebayashi
Y
Y
Ishibe
R
R
Tanaka
K
K
Taira
A
A
D000063:Accidents, Traffic; D000328:Adult; D001013:Aorta, Thoracic / Q000293:injuries*; D017809:Fatal Outcome; D006801:Humans; D007511:Ischemia / Q000209:etiology; D008297:Male; D009102:Multiple Organ Failure / Q000209:etiology*; D012421:Rupture; D013898:Thoracic Injuries / Q000150:complications; D014949:Wounds, Nonpenetrating / Q000150:complications