Tension hemothorax following endovascular thoracic aortic transection repair: case report.
Thoracic aortic transection (TAT) is the second commonest cause of death from blunt trauma surpassed only by head injury and is associated with a mortality of 80% to 90%. The injury site is typically anteromedial at the aortic isthmus where differential shear forces act during rapid deceleration. The authors report a lateral aortic laceration managed by endovascular repair that required open thoracotomy for tension hemothorax resulting from an endoleak.
Pond
Franklin
F
Department of Vascular Surgery, Alfred Hospital, Melbourne, Australia. fhkpond@bigpond.com
Claydon
M
M
D000369:Aged, 80 and over; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D005260:Female; D006491:Hemothorax / Q000209:etiology* / Q000601:surgery; D006801:Humans; D012086:Reoperation; D013536:Suture Techniques; D013898:Thoracic Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome