Zoulati M, Bakkali T, Aghoutane N, Lyazidi Y, Chtata H, Taberkant M. [Acute post-trauma dissection of the descending thoracic aorta].
JOURNAL DE MÉDECINE VASCULAIRE 2019;
44:367-373. [PMID:
31761303 DOI:
10.1016/j.jdmv.2019.09.001]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/03/2019] [Accepted: 08/03/2019] [Indexed: 10/25/2022]
Abstract
BACKGROUND
Traumatic injury to the descending thoracic aorta other than the isthmus is rare, and little known. Acute post-trauma rupture may occur in a context of multiple or rarely unique localizations.
CASE REPORT
We report the case of a young man who was the victim of multiple injuries with an isolated rupture of the descending thoracic aorta. Early diagnosis and adapted endovascular treatment led to favorable outcome.
CONCLUSION
In 90% of cases, acute post-trauma rupture of the aorta in a single localization involve the isthmus. Rupture of the descending aorta is more exceptional but must not be missed. The pathophysiological mechanism and appropriate management are discussed in light of a review of the literature.
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