2013, Number 1
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Revista Cubana de Cirugía 2013; 52 (1)
Traumatic ruptura of the descending thoracic aorta
González SG, Frías EJE, Crombet GI, Montoya CIJ
Language: Spanish
References: 14
Page:
PDF size: 132.55 Kb.
ABSTRACT
Severe thoracic traumatisms, either open or close, may occur secondary to injuries
caused by firearms, knifes, traffic accidents, falls from height or thoracic compression
due to crushing, among others. They have become an important cause of mortality and
morbidity but they are vascular injuries directly responsible for 20 to 25 % of the total
number of deaths caused by this type of traumatism. Most of the injuries occurred in
healthy young people, mainly men. This is the case of a 38 years-old patient with a
history of health problems, who in a street fight, suffered an injury in the posterior
region of the right hemithorax, below the lower rim of the scapula. It was a
penetrating wound in the thoracic cavity caused by a short sharpened object; a piece
of this object was trapped into the cavity and caused a 3 cm long injury, at the level of
the thoracic descending aorta. The patient was operated on in an emergency situation
and the vascular injury was successfully sutured, a procedure that barely has positive
results due to the high mortality rate of this type of injuries. Most of the affected
people die before arriving to the specialized health center.
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