Double aortic blunt traumatic rupture Download full-text
Nawid Khaladja,*, Angela Reicheltb, Christian Haglaand Maximilian Pichlmaiera
aDepartment of Cardiac, Thoracic, Transplantation- and Vascular Surgery, Hannover Medical School, Hannover, Germany
bDivision of Radiology, Hannover Medical School, Hannover, Germany
* Corresponding author. Department of Cardiac Surgery, University Hospital Munich, Marchioninistr. 15, 81377 Munich, Germany. Tel: +49-89-70956467;
fax: +49-89-70953465; e-mail: email@example.com (N. Khaladj).
Received 17 September 2011; received in revised form 19 November 2011; accepted 23 November 2011
Keywords: Aortic dissection • Hypothermic circulatory arrest • Stentgraft
A 69-year old man received a computed tomography scan after
he fell from a ladder (Fig. 1A and B). The ascending aorta and
the proximal aortic arch were replaced. During hypothermic
circulatory arrest, an antegrade stentgraft implantation was
performed into the descending aorta (Fig. 2A and B). The aortic
arch was without any pathological findings.
Figure 1: (A) Intramural haematoma in the ascending aorta as well as a dissection membrane in the descending aorta (arrows). (B) The rupture in the ascending
aorta is near the brachiocephalic trunk, and the entry in the descending aorta at the typical location for a traumatic transection (arrows).
Figure 2: (A and B) Operative result of the double blunt aortic rupture repair with the replaced ascending and the stented descending aorta.
© The Author 2012. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
European Journal of Cardio-Thoracic Surgery 42 (2012) 190
doi:10.1093/ejcts/ezr279Advance Access publication 26 January 2012
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