[Delayed repair for blunt injury of the thoracic aorta complicated with the spinal cord injury; report of a case].
Blunt aortic injury is a major cause of death from blunt trauma and it generally accompanies with the other multiple serious injuries. A 67-year-old man sustained a blunt aortic injury and a fracture of 5th cervical vertebrae complicated with a spinal cord injury. A neurological examination showed a complete paralysis of the limbs. However, his respiratory status and circulatory status were stable. On admission, the paralysis improved resulting from high dose steroid injection and a cervical traction. An orthopedic operation was required before a cardiovascular operation even though computed tomography (CT) showed that a pseudo aortic aneurysm on the distal arch tended to enlarge in the short period. As a result, the aorta was repaired about 5 months after the injury. Delayed repair was performed in safe after careful and serial CT follow-up.
Tanaka
Kei
K
Department of Cardiovascular Surgery, Fuji City General Hospital, Fuji, Japan.
Kawada
N
N
Hashimoto
K
K
D000063:Accidents, Traffic; D000368:Aged; D017541:Aneurysm, False / Q000601:surgery*; D001013:Aorta, Thoracic / Q000293:injuries* / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D008297:Male; D010243:Paralysis / Q000209:etiology; D013119:Spinal Cord Injuries / Q000150:complications* / Q000628:therapy; D013123:Spinal Fusion; D013997:Time Factors; D014949:Wounds, Nonpenetrating / Q000601:surgery*