Blunt aortic injury-traumatic aortic isthmus pseudoaneurysm with right iliac artery dissection aneurysm:A case report  

作　　者：Xiao-Xin Fang Xin-Hui Wu Xiao-Feng Chen 

机构地区：[1]Department of Cardiology,Taizhou Hospital of Zhejiang Province(Taizhou Hospital,Zhejiang University School of Medicine),Linhai 317000,Zhejiang Province,China [2]Department of Orthopedics,Wenzhou Medical University,Wenzhou 325000,Zhejiang Province,China [3]Department of Radiation Oncology,Indiana University School of Medicine,Indianapolis,IN 46202,United States

出　　处：《World Journal of Clinical Cases》2022年第15期4998-5004,共7页世界临床病例杂志

摘　　要：BACKGROUND Blunt aortic injury is a special type of aortic disease.Due to its low incidence,high prehospital mortality and high probability of leakage diagnosis,the timely identification of patients with blunt aortic injury who survive the initial injury has always been a clinical challenge.CASE SUMMARY We report a case of traumatic aortic pseudoaneurysm with right iliac artery dissection aneurysm that was diagnosed 3 mo after a traffic accident.The patient is a 76-year-old male who was knocked down by a fast-moving four-wheel motor vehicle while crossing the road(the damage mechanism was side impact).He received chest,cranial computed tomography(CT)and whole abdomen enhanced CT in the local hospital.The images suggested subarachnoid hemorrhage,right frontoparietal scalp hematoma,fracture of the right clavicle and second rib,lumpshaped mediastinal shadow outside the anterior descending thoracic aorta(mediastinal hematoma),mesenteric vascular injury with hematoma formation,pelvic fracture,and subluxation of the left sacroiliac joint.After the pelvic fracture was fixed with an external stent,he was sent to our hospital for further treatment.In our hospital,he successfully underwent partial resection of the small intestine and CT-guided screw internal fixation of the left sacroiliac joint and returned to the local hospital for rehabilitation treatment.However,since the accident,the patient has been suffering from mild chest pain,which has not aroused the attention of clinicians.During rehabilitation,his chest pain gradually worsened,and the thoracic aorta computed tomography angiography performed in the local hospital showed a pseudoaneurysm in the initial descending segment of the aortic arch.After transfer to our hospital,a dissecting aneurysm of the right external iliac artery was incidentally found in the preoperative evaluation.Finally,endovascular stent graft repair was performed,and he was discharged on the 10th day after the operation.No obvious endo-leak was found after 4 years of follow-up.CONCLUSION We hi

关 键 词：Motor vehicle collision Blunt aortic injury Chest pain Traumatic pseudoaneurysm Traumatic dissecting aneurysm Case report 

分 类 号：R654.3[医药卫生—外科学]