Missed aortic transection following blunt trauma: a case report

Missed vascular injuries following blunt traumas can lead to fatal clinical conditions that require an emergency intervention. Aortic transection (AT) is the most fatal complication of these missed vascular injuries. In this case report an AT that developed following a blunt trauma is presented. The patient was admitted with effort dyspnea and tachycardia. He had a history of blunt trauma three years ago. There was an enlargement of the upper mediastinum on X-ray studies. Thoracal magnetic resonance imaging and computed tomography revealed aneursym of the descending aorta. Dacron graft interposition was performed as surgical treatment. The symptom and signs disappeared dramatically after the operation.

Künt travmaya baðlý farkedilmeyen aort transeksiyonu: Olgu sunumu

Künt travmalardan sonra oluþabilen gözden kaçmýþ damar yaralanmalarý yaþamý tehdit eden ve acil giriþim gerektiren klinik tablolarý ortaya çýkarýr. Aort transeksiyonu (AT) bu gözden kaçabilecek vasküler yaralanmalarýn en ölümcül olanýdýr. Bu yazýda künt travma sonrasý meydana gelen bir AT olgusu sunuldu. Üç yýl önce künt travmaya maruz kaldýðýný bildiren hasta eforla gelen nefes darlýðý ve çarpýntý þikayetiyle baþvurdu. Telegrafisinde üst mediastende geniþleme, torakal manyetik rezonans anjiyografi ve bilgisayarlý tomografisinde transeksiyon ve inen aortada anevrizmatik geniþleme saptandý. Cerrahi tedavide Dakron greft interpozisyonu yapýldý. Ameliyattan sonra hastanýn yakýnmalarý ve bulgularý dramatik olarak geriledi. Künt travmalardan sonra geliþebilen AT, yaþamý tehdit eden ve mutlaka araþtýrýlmasý gereken bir tablodur.