Chronic Thoracic Aortic Aneurysm Presenting 29 Years following Trauma

Chronic Thoracic Aortic Aneurysm Presenting 29 Years following Trauma

Blunt, nonpenetrating injuries of the thoracic aorta are uncommon and associated with a high mortality rate within the first hour. Aortic injury is missed in 1-2% of patients that survive to hospital, and a chronic thoracic aortic aneurysm may subsequently form. We present a case in which a chronic...

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Main Authors: Sarah Miller, Prashant Kumar, Rene Van den Bosch, Adib Khanafer
Format: Article
Language:English
Published: Hindawi Limited 2015-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2015/470917
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spelling doaj-fe18d62cf3eb43559b91e3900b7c802d2020-11-25T02:36:05ZengHindawi LimitedCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/470917470917Chronic Thoracic Aortic Aneurysm Presenting 29 Years following TraumaSarah Miller0Prashant Kumar1Rene Van den Bosch2Adib Khanafer3General Surgery, Timaru Hospital, South Canterbury 7910, New ZealandEmergency Medicine, Timaru Hospital, South Canterbury 7910, New ZealandTimaru Hospital, South Canterbury 7910, New ZealandChristchurch Hospital, Riccarton Avenue, Christchurch 8053, New ZealandBlunt, nonpenetrating injuries of the thoracic aorta are uncommon and associated with a high mortality rate within the first hour. Aortic injury is missed in 1-2% of patients that survive to hospital, and a chronic thoracic aortic aneurysm may subsequently form. We present a case in which a chronic thoracic aortic aneurysm was diagnosed 29 years following a significant motor vehicle accident. We discuss the epidemiology, presentation, and management of this uncommon consequence of blunt, nonpenetrating aortic injury. Our case illustrates an important clinical lesson; a past medical history of trauma should not be overlooked at any patient assessment.http://dx.doi.org/10.1155/2015/470917
collection DOAJ
language English
format Article
sources DOAJ
author Sarah Miller
Prashant Kumar
Rene Van den Bosch
Adib Khanafer
spellingShingle Sarah Miller
Prashant Kumar
Rene Van den Bosch
Adib Khanafer
Chronic Thoracic Aortic Aneurysm Presenting 29 Years following Trauma
Case Reports in Surgery
author_facet Sarah Miller
Prashant Kumar
Rene Van den Bosch
Adib Khanafer
author_sort Sarah Miller
title Chronic Thoracic Aortic Aneurysm Presenting 29 Years following Trauma
title_short Chronic Thoracic Aortic Aneurysm Presenting 29 Years following Trauma
title_full Chronic Thoracic Aortic Aneurysm Presenting 29 Years following Trauma
title_fullStr Chronic Thoracic Aortic Aneurysm Presenting 29 Years following Trauma
title_full_unstemmed Chronic Thoracic Aortic Aneurysm Presenting 29 Years following Trauma
title_sort chronic thoracic aortic aneurysm presenting 29 years following trauma
publisher Hindawi Limited
series Case Reports in Surgery
issn 2090-6900
2090-6919
publishDate 2015-01-01
description Blunt, nonpenetrating injuries of the thoracic aorta are uncommon and associated with a high mortality rate within the first hour. Aortic injury is missed in 1-2% of patients that survive to hospital, and a chronic thoracic aortic aneurysm may subsequently form. We present a case in which a chronic thoracic aortic aneurysm was diagnosed 29 years following a significant motor vehicle accident. We discuss the epidemiology, presentation, and management of this uncommon consequence of blunt, nonpenetrating aortic injury. Our case illustrates an important clinical lesson; a past medical history of trauma should not be overlooked at any patient assessment.
url http://dx.doi.org/10.1155/2015/470917
work_keys_str_mv AT sarahmiller chronicthoracicaorticaneurysmpresenting29yearsfollowingtrauma
AT prashantkumar chronicthoracicaorticaneurysmpresenting29yearsfollowingtrauma
AT renevandenbosch chronicthoracicaorticaneurysmpresenting29yearsfollowingtrauma
AT adibkhanafer chronicthoracicaorticaneurysmpresenting29yearsfollowingtrauma
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