title: A treatment case of delayed aortic injury: the patient with posterior rib fracture.
abstract: A 66-year-old male patient arrived at the emergency room with a crush injury to his chest. Multiple rib fractures, hemothorax on both sides, left scapular fracture, liver laceration, and retroperitoneal hematoma were found upon the radiologic examination. After closed thoracostomy, the patient had been initially admitted to the intensive care unit, but he was transferred to the general ward on the next day. On the 4th post-trauma day, the patient complained of severe pain and there was bloody drainage through the chest tube. This case is an exploration with the consideration of the possibility of major bleeding and the subsequent repair of the descending thoracic aorta. This case is regarded as a case in which the aorta wall was damaged as the sharp margin of the fractured ribs caused continuous irritation.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Kangwon National University School of Medicine.
authors.forename: Hyun-Seok
authors.initials: HS
authors.lastname: Park
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Kangwon National University School of Medicine.
authors.forename: Se-Min
authors.initials: SM
authors.lastname: Ryu
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Kangwon National University School of Medicine.
authors.forename: Seong-Joon
authors.initials: SJ
authors.lastname: Cho
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Kangwon National University School of Medicine.
authors.forename: Sung-Min
authors.initials: SM
authors.lastname: Park
authors.affiliation: Department of Family Medicine, Kangwon National University School of Medicine.
authors.forename: Sun-Hye
authors.initials: SH
authors.lastname: Lim
keywords: Aortic rupture; Rib fractures; Thoracic injuries