Case report. Stab wound in the aortic arch
Keywords:
THORACIC AORTIC LESION Massive hemothorax, thoracotomy, vascular sutureAbstract
Thoracic trauma is a frequent entity in the world and in our province. They cause injuries to the wall of the thoracic cage and organs within the cavity itself, causing serious alterations in the physiology of the thorax and endangering the patient's life. Thoracic aortic injury is infrequent and practically fatal. It is among the exsanguinating lesions that do not allow any conduct in several places in the world. We present the case of a male patient, CPH, 42 years old, with a stab wound in the posterior region of the left hemithorax treated at the General Surgery Service of the General Teaching Hospital "Dr. Ernesto Guevara de la Serna", who was transported by the SIUM, presenting a 3 cm wound in the left posterior region of the thorax, supra scapular, with visceral lesion and important compromise of the respiratory and circulatory functions.
Downloads
References
2.-Demetriades D, Velmahos GC, Scalea TM, et al.( 2008). American Association for the Surgery of Trauma Thoracic Aortic Injury Study Group. Operative repair or endovascular stent graft in blunt traumatic thoracic aortic injuries: results of an American Association for the Surgery of Trauma Multicenter Study. J Trauma; 64: 561–570; discussion 570–571.
3. Gupta R, Rao S and Sieunarine K. (2014). An epidemiological view of vascular trauma in western Australia: a 5-year study. Aust NZ J Surg 2001; 71: 461–466.
4. - Gen Thorac Cardiovasc Surg) 62:713–719 719
5.- Holloway B, Mathias H, Riley P. Imaging of thoracic trauma. Trauma [serial on the Internet]. (2014, Oct), [cited May 26, 2017]; 16(4): 256-268. Available from: Academic Search Premier.
6.- Demetriades D, Velmahos GC, Scalea TM, et al.( 2008). Diagnosis and treatment of blunt thoracic aortic injuries: changing perspectives. J Trauma; 64: 1415–1418; discussion 1418–1419.
7.- White R, Krajcer Z, Johnson M, et al.( 2006). Results of a multicenter trial for the treatment of traumatic vascular injury with a covered stent. J Trauma; 60: 1189–1195; discussion 1195–1196.
8.- Kidane B, Abramowitz D, Harris J, DeRose G, Forbes T. Natural history of minimal aortic injury following blunt thoracic aortic trauma. Canadian Journal Of Surgery. Journal Canadien De Chirurgie [serial on the Internet]. (2012, Dec), [cited May 26, 2017]; 55(6): 377-381. Available from: MEDLINE Complete.
9.- Antonopoulos C, Sfyroeras G, Kallinis A, Kakisis J, Liapis C, Petridou E. Epidemiology of concomitant injuries in traumatic thoracic aortic rupture: a meta-analysis. Vascular [serial on the Internet]. (2014, Dec), [cited May 26, 2017]; 22(6): 395-405. Available from: MEDLINE Complete.
10.- Pillai J, Yazicioglu C, Monareng T, Rangaka T, Jayakrishnan R, Veller M. Lessons learned from the endovascular management of blunt thoracic aortic injuries: A single-centre experience. South African Journal Of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie [serial on the Internet]. (2015, Mar), [cited May 26, 2017]; 53(1): 19-21. Available from: MEDLINE Complete.
11.-Lioupis C, MacKenzie K, Corriveau M, Obrand D, Abraham C, Steinmetz O. Midterm results following endovascular repair of blunt thoracic aortic injuries. Vascular And Endovascular Surgery [serial on the Internet]. (2012, Feb), [cited May 26, 2017]; 46(2): 109-116. Available from: MEDLINE Complete.
12.- Chiba K, Abe H, Kitanaka Y, Miyairi T, Makuuchi H. Conventional surgical repair of traumatic rupture of the thoracic aorta. General Thoracic And Cardiovascular Surgery [serial on the Internet]. (2014, Dec), [cited May 26, 2017]; 62(12): 713-719. Available from: MEDLINE Complete.
13.- Mohammed R, Cheung S, Parikh S, Asgaria K. Conservative management of aortic arch injury following penetrating trauma. Annals Of The Royal College Of