Traumatic dissection and rupture of the abdominal aorta as a complication of the Heimlich maneuver.
Although the Heimlich maneuver is considered the best intervention for relieving acute upper airway obstruction, several complications have been reported in the literature. These complications can occur as a result of an increase in abdominal pressure leading to a variety of well-documented visceral injuries, including the great vessels. Acute abdominal aortic thrombosis after the Heimlich maneuver is a rare but recognized event; however, to date no case of traumatic dissection and rupture of the abdominal aorta has been described. We report the first known case, to our knowledge, of a traumatic dissection and rupture of the abdominal aorta after a forcefully applied Heimlich maneuver.
Desai
Shaun C
SC
The George Washington University School of Medicine, Washington, DC, USA. bcdesai@hotmail.com
Chute
Dennis J
DJ
Desai
Bharati C
BC
Koloski
Eugene R
ER
D000368:Aged; D000402:Airway Obstruction / Q000628:therapy*; D000784:Aortic Dissection / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D001019:Aortic Rupture / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D005392:First Aid / Q000009:adverse effects*; D016330:Frail Elderly; D006801:Humans; D011312:Pressure / Q000009:adverse effects; D014057:Tomography, X-Ray Computed