title: Surgical repair for rupture of a chronic traumatic thoracic aneurysm 14 years after injury: report of a case.
abstract: Traumatic thoracic aortic injury is a lethal condition. Because its mortality rate is extremely high in the acute phase, these patients rarely survive long enough for a chronic aneurysm to develop. We herein report a case of surgical repair for a ruptured chronic traumatic thoracic aneurysm. A 32-year-old man, who had been involved in a traffic accident 14 years earlier, was diagnosed with a rupture of a chronic traumatic thoracic aneurysm. Preoperative computed tomography showed that the ruptured aneurysm arose from the aortic isthmus and was accompanied by multiple daughter lesions. He underwent an aorta graft replacement with reconstruction of the left subclavian artery using both a median sternotomy and a left thoracotomy. The surgery was successful and the postoperative course was uneventful. Chronic traumatic thoracic aneurysm is usually a single lesion, and cases with daughter aneurysms have rarely been reported. We include a review of the previous literature and also discuss the etiology of this condition.
authors: Department of Cardiovascular Surgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan.
authors: Akihiko
authors: A
authors: Ikeda
authors: Fujio
authors: F
authors: Sato
authors: Chiho
authors: C
authors: Tokunaga
authors: Yoshiharu
authors: Y
authors: Enomoto
authors: Shinya
authors: S
authors: Kanemoto
authors: Shonosuke
authors: S
authors: Matsushita
authors: Yuji
authors: Y
authors: Hiramatsu
authors: Yuzuru
authors: Y
authors: Sakakibara
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D017542:Aneurysm, Ruptured / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D002908:Chronic Disease; D005500:Follow-Up Studies; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D013997:Time Factors; D014057:Tomography, X-Ray Computed