Traumatic Aortic Dissection（Stanford Type A, DeBakey Type II）Caused by Blunt Chest Trauma

Shuntaro Ito＊	Kenji Mogi＊	Manabu Sakurai＊
Kengo Tani＊	Masafumi Hashimoto＊	Yoshiharu Takahara＊

（Division of Cardiovascular Surgery, Funabashi Municipal Medical Center Heart and Vascular Institute＊, Funabashi, Japan）

We report the case of a 55-year-old man who received a hard blow to his chest from a liquid nitrogen hose that caused traumatic aortic dissection（Stanford type A, DeBakey type II). He did not have any other hemorrhagic injury;therefore, we decided to perform an emergency surgery. The postoperative course was uneventful, and he was discharged on postoperative day 19. Pathological findings were compatible with traumatic aortic dissection. Blunt thoracic aortic injury is a potentially life-threatening injury;therefore, it is worth remembering that relatively low-energy blunt trauma can cause aortic injury in patients with severe atherosclerosis. The optimal timing of intervention should be individualized in traumatic aortic injury with consideration of associated injuries.

 

Jpn. J. Cardiovasc. Surg. 50:65-68（2021）

Keywords：blunt thoracic aortic injury;traumatic aortic dissection;Stanford type A