title: [An operative case of a chronic traumatic thoracic aortic aneurysm 16 years after a jet skiing crash; report of a case].
abstract: Injury of the thoracic aorta following a major blunt trauma to the chest occurs most frequently at the aortic isthmus and more than 80% of such patients die within 1st 30 minutes. However, less than 5% of patients survive and later develop chronic thoracic aortic aneurysm (TAA). Usually, most cases of chronic traumatic TAA have no symptoms for a long time after an accident. We report a case of successful repair for a chronic traumatic TAA 16 years after a jet skiing crash. A 37-year-old woman complained of left chest pain, back pain, and cough. A computed tomography showed a descending TAA, which was 5 cm in a maximum diameter. The final diagnosis was chronic traumatic TAA. Thoracic endovascular aortic repair (TEVAR) or graft replacement was considered as an operative procedure. We performed graft replacement to avoid complications of TEVAR, considering her small external iliac arteries.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Nara Medical University School of Medicine, Kashihara, Japan.
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Hirose
authors.forename: Nobuoki
authors.initials: N
authors.lastname: Tabayashi
authors.forename: Yoshiro
authors.initials: Y
authors.lastname: Yoshikawa
authors.forename: Takehisa
authors.initials: T
authors.lastname: Abe
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Hayata
authors.forename: Keigo
authors.initials: K
authors.lastname: Yamashita
authors.forename: Shun
authors.initials: S
authors.lastname: Hiraga
authors.forename: Shigeki
authors.initials: S
authors.lastname: Taniguchi
mesh_terms: D000328:Adult; D001013:Aorta, Thoracic / Q000293:injuries*; D017545:Aortic Aneurysm, Thoracic / Q000209:etiology / Q000601:surgery*; D001265:Athletic Injuries; D001807:Blood Vessel Prosthesis; D002908:Chronic Disease; D005260:Female; D006801:Humans; D013997:Time Factors