title: A case of aortic dissection caused by blunt chest trauma.
abstract: A 74-year-old woman was struck by a car travelling at about 50 km/h. On arrival at hospital, a CT scan showed dissection of the ascending and descending aorta. She collapsed and died suddenly 8h later. At autopsy, there was massive bleeding into the left pleural cavity, ruptures of the pericardium and right ventricle, and a type A thoracic aortic dissection. The cause of death was haemorrhagic shock due to rupture of the pericardium and delayed rupture of the right ventricle following trauma to the chest. The thoracic aortic dissection was not the direct cause of death although histological examination did reveal that it occurred in the accident. Traumatic aortic dissection is rare although traumatic aortic rupture is a major cause of death after blunt chest trauma. This paper discusses the mechanisms, and factors involved in aortic dissection caused by blunt trauma.
authors.affiliation: Department of Public Health and Forensic Medicine, Tohoku University School of Medicine, Sendai 980-8575, Japan. mimasaka@forensic.med.tohoku.ac.jp
authors.forename: Sohtaro
authors.initials: S
authors.lastname: Mimasaka
authors.forename: Yukihito
authors.initials: Y
authors.lastname: Yajima
authors.forename: Masaki
authors.initials: M
authors.lastname: Hashiyada
authors.forename: Masayuki
authors.initials: M
authors.lastname: Nata
authors.forename: Masatoshi
authors.initials: M
authors.lastname: Oba
authors.forename: Masato
authors.initials: M
authors.lastname: Funayama
mesh_terms: D000063:Accidents, Traffic; D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology*; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D006801:Humans; D011859:Radiography; D014949:Wounds, Nonpenetrating / Q000150:complications*