[Ascending aortic dissection associated with pulmonary contusion caused by blunt trauma].
A 77-year-old female tumbled and struck her front chest wall twice. After the event, hemosputum was observed and she complained of slight chest discomfort. As chest pain continued to worsen a week after the event, she was transferred to our hospital. The computed tomography (CT) revealed an ascending aortic dissection and bilateral pulmonary contusion. In the intensive care unit (ICU), antihypertensive therapy was given immediately and delayed surgical repair was planned because of pulmonary contusion. Twenty days after the event, proximal hemiarch replacement was performed. Postoperative course was uneventful without any complication. She was discharged on the 23rd day after the operation.
Yokoyama
S
S
Department of Cardiovascular Surgery, Kyoto Second Red-cross Hospital, Kyoto, Japan.
Maeda
Y
Y
Maisawa
K
K
Shingaki
M
M
Koh
E
E
D000368:Aged; D000784:Aortic Dissection / Q000209:etiology / Q000601:surgery*; D001011:Aorta / Q000293:injuries* / Q000601:surgery; D001014:Aortic Aneurysm / Q000209:etiology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D006348:Cardiac Surgical Procedures / Q000379:methods; D003288:Contusions / Q000209:etiology*; D005260:Female; D006801:Humans; D055370:Lung Injury; D014949:Wounds, Nonpenetrating / Q000150:complications*