A RARE DİAGNOSİS AFTER A TRAFFİC ACCİDENT AORTİC TRANSECTİON

Year 2022, Volume: 13 Issue: 2, 59 - 61, 23.06.2022

Murat Tepe , Fatma Dilan Arslan Ali İhsan Kilci , Hakan Hakkoymaz , Muhammed Semih Gedik

https://doi.org/10.33706/jemcr.1058917

Abstract

Traumatic aortic transection is mostly seen in blunt injury and associated with motor vehicle accidents. %80-%85 of the patients with the aortic transection die at the scene of the incident and the rest of the patients who is delivered to the hospital ,have %20 mortality rate. Even with the endovascular repair, these patients have considerably high mortality. On the other hand the diagnosis and the prognosis of aortic transection has been continously improving.
Furthermore the treatment requires a combination of pharmacological and surgical techniques and the endovascular treatment playing a very important role in definitive repair.
In this report we present a patient who is admitted to the ER after an in-vehicle car accident.
The possibility of aortic injury should always be considered in cases admitted to hospital due to trauma, and if there is any suspicion, necessary examinations should be performed also cardiovascular surgeon should be consulted immediately.

Keywords

Blunt trauma, Aortic transection, Traffic accident

Supporting Institution

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References

• Güçlü O, Demirtaş S, Yüksel V, Hüseyin S, Canbaz S. Künt Travmaya Bağlı Akut Aort Transeksiyonunda Endovasküler Tedavi. Türkiye Klinikleri Cardiovascular Sciences. 2016;28(1):29-31.
• Harper C, Slesinger TL. Aortic Transection. StatPearls [Internet]: StatPearls Publishing; 2020.
• Steuer J, Björck M, Sonesson B, Resch T, Dias N, Hultgren R, et al. Editor's Choice–Durability of endovascular repair in blunt traumatic thoracic aortic injury: long-term outcome from four tertiary referral centers. European Journal of Vascular and Endovascular Surgery. 2015;50(4):460-5.
• Edgecombe L, Angus LD. Thoracic trauma. StatPearls [Internet]: StatPearls Publishing; 2019.
• Alsalehi S, Şaşmazel A, Tuncer A, Özkökeli M, Zeybek R, Sunar H. Travmatik aortik rüptür ve cerrahi onarım. 2012.
• Gleason TG BJ. Trauma to the great vessels. In: Cohn LH, editor. Cardiac surgery in the adult. New York: McGraw-Hill; 2008. p. 1333-54.
• Özakin E, Acar N, Çevik AA, Özçelik H, Zeytin A, Kaya S. Painless Aortic Transection Discharged from the Emergency Department After Blunt Thoracic Trauma/Künt Gögüs Travmasi Sonrasi Acil Servisten Taburcu Edilen Agrisiz Aort Transeksiyonu. Akademik Acil Tip Olgu Sunumlari Dergisi. 2012;3(3):96.
• DuBose JJ, Leake SS, Brenner M, Pasley J, O’Callaghan T, Luo-Owen X, et al. Contemporary management and outcomes of blunt thoracic aortic injury: a multicenter retrospective study. Journal of Trauma and Acute Care Surgery. 2015;78(2):360-9.
• Svensson LG, Kouchoukos NT, Miller DC, Bavaria JE, Coselli JS, Curi MA, et al. Expert consensus document on the treatment of descending thoracic aortic disease using endovascular stent-grafts. The Annals of thoracic surgery. 2008;85(1):S1-S41.
• Xenos ES, Abedi NN, Davenport DL, Minion DJ, Hamdallah O, Sorial EE, et al. Meta-analysis of endovascular vs open repair for traumatic descending thoracic aortic rupture. Journal of vascular surgery. 2008;48(5):1343-51.