title: Successful management of threatened aortic rupture late after rib fracture caused by blunt chest trauma.
abstract: A 62-year-old man was crushed in a car accident and diagnosed with a fractured left ninth rib, pulmonary and heart contusion, hemopneumothorax, and descending aortic injury based on a computed tomography scan. He underwent chest tube drainage and was intubated for mechanical ventilation because a bone fragment of the ninth rib threatened to penetrate the descending aorta. On the second posttrauma day, computed tomography showed the bone fragment of the ninth rib approaching the descending aorta. He underwent graft replacement of the injured portion of the descending thoracic aorta, and we removed the fractured left ninth rib.
authors: Division of Cardiovascular Surgery, Awaji Medical Center, Hyogo, Japan. Electronic address: yoshimor@gmail.com.
authors: Yoshihisa
authors: Y
authors: Morimoto
authors: Division of Cardiovascular Surgery, Awaji Medical Center, Hyogo, Japan.
authors: Takaki
authors: T
authors: Sugimoto
authors: Division of Cardiovascular Surgery, Awaji Medical Center, Hyogo, Japan.
authors: Hideki
authors: H
authors: Sakahira
authors: Division of Cardiovascular Surgery, Awaji Medical Center, Hyogo, Japan.
authors: Hidehito
authors: H
authors: Matsuoka
authors: Division of Cardiovascular Surgery, Awaji Medical Center, Hyogo, Japan.
authors: Yuki
authors: Y
authors: Yoshioka
authors: Division of Cardiovascular Surgery, Awaji Medical Center, Hyogo, Japan.
authors: Hiroki
authors: H
authors: Arase
mesh_terms: D000063:Accidents, Traffic; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D001019:Aortic Rupture / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D004322:Drainage; D006801:Humans; D008297:Male; D008875:Middle Aged; D012121:Respiration, Artificial; D012253:Rib Fractures / Q000175:diagnosis / Q000209:etiology*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000209:etiology*