title: The complex management of a traumatic brain injury and aortic injury after a motor vehicle crash: a case report.
abstract: Blunt aortic injuries are extremely rare in the pediatric population. This case report examines a pediatric patient involved in a motor vehicle crash that resulted in aortic dissection combined with traumatic brain injury. The clinical management of this patient was particularly challenging because of the conflicting needs of optimal management for the head and aortic injuries. Despite the patient's low predicted probability of survival based on Injury Severity Score, the patient had an exceptional outcome.
authors.affiliation: Department of Trauma Services, Riley Hospital for Children at Indiana University Health, Indianapolis, Indiana (Ms. Mayo and Hackworth and Dr Billmire); and Department of Surgery, Indiana University School of Medicine, Riley Hospital for Children at Indiana University Health, Indianapolis, Indiana (Dr Billmire).
authors.forename: Erin
authors.initials: E
authors.lastname: Mayo
authors.forename: Jodi
authors.initials: J
authors.lastname: Hackworth
authors.forename: Deborah
authors.initials: D
authors.lastname: Billmire
mesh_terms: D000063:Accidents, Traffic; D000293:Adolescent; D000784:Aortic Dissection / Q000175:diagnosis* / Q000628:therapy; D001930:Brain Injuries / Q000175:diagnosis / Q000628:therapy*; D003131:Combined Modality Therapy / Q000379:methods; D003422:Critical Care / Q000379:methods; D004636:Emergency Service, Hospital; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D018810:Magnetic Resonance Angiography / Q000379:methods; D018986:Motor Vehicles; D009104:Multiple Trauma / Q000175:diagnosis / Q000628:therapy*; D035583:Rare Diseases; D018570:Risk Assessment; D013895:Thoracic Arteries / Q000000981:diagnostic imaging / Q000293:injuries*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000628:therapy*