title: Blunt aortic injury in a patient with prior coronary artery bypass surgery.
abstract: Traumatic aortic rupture is a significant challenge, further complicated by prior coronary artery bypass graft surgery with a left internal mammary artery anastomosis. We present a patient with prior coronary artery bypass graft and valve replacement who sustained multiple injuries, including an aortic rupture, after a motor vehicle crash. This report describes successful treatment of a patient with a thoracic endograft and carotid subclavian bypass to preserve the left internal mammary artery inflow.
authors.affiliation: R. Adams Cowley Shock Trauma Center and the Division of Cardiac Surgery, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA. jrabin1@umm.edu
authors.forename: Joseph
authors.initials: J
authors.lastname: Rabin
authors.forename: Albert
authors.initials: A
authors.lastname: Chi
authors.forename: David G
authors.initials: DG
authors.lastname: Neschis
authors.forename: Bartley P
authors.initials: BP
authors.lastname: Griffith
authors.forename: Thomas M
authors.initials: TM
authors.lastname: Scalea
mesh_terms: D000063:Accidents, Traffic; D000368:Aged; D000792:Angiography; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D001019:Aortic Rupture / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001807:Blood Vessel Prosthesis; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D013898:Thoracic Injuries / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed; D057772:Vascular System Injuries / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000175:diagnosis / Q000601:surgery