title: [Surgical treatment for traumatic injury of the ascending aorta and aortic arch; report of a case].
abstract: We herein report a rare case of surgical treatment for blunt traumatic injury of the ascending aorta and aortic arch. A 60-year-old male was crushed by an arm of a forklift while working. He suffered from multiple thoracic traumas, including injury of the ascending aorta and aortic arch, multiple fractures of the ribs and bilateral hemopneumothorax. An emergency surgery for aortic repair was performed because there were no other severe hemorrhagic compilations due to organ injures. There was a massive hematoma around the aortic arch, and the intimae of several parts of the distal ascending aorta and aortic arch were disrupted circumferentially. The aorta was replaced with a prosthetic graft from sinotubular junction to the aortic arch, between the left common carotid artery and the left subclavian artery. The patient's postoperative course was uneventful, and he was transferred to a rehabilitation facility on the 13th day after surgery.
authors.affiliation: Department of Cardiovascular Surgery, Chibanishi General Hospital, Matsudo, Japan.
authors.forename: Taro
authors.initials: T
authors.lastname: Kanamori
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Ichihara
authors.forename: Hidehito
authors.initials: H
authors.lastname: Sakaguchi
authors.forename: Takehiko
authors.initials: T
authors.lastname: Inoue
mesh_terms: D000062:Accidents, Occupational; D001011:Aorta / Q000293:injuries* / Q000601:surgery*; D001013:Aorta, Thoracic / Q000293:injuries* / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D014949:Wounds, Nonpenetrating / Q000601:surgery