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Eur J Cardiothorac Surg 1999;16:374-377
© 1999 Elsevier Science NL

Case report

Blunt trauma with flail chest and penetrating aortic injury

Division of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, 199 Tun-Hwa N Road, Taipei, Taiwan 105

Corresponding author. Tel.: +886-3-3281200; fax: +886-3-3285818

Blunt chest trauma with flail chest is common. The mortality attributes initially to the associated pulmonary contusion, massive hemothorax and later to the occurrence of adult respiratory distress syndrome. We report a case of flail chest with segmental fractures near the costovertebral junction and delayed hemothorax attacked 14 h later. The final diagnosis of the penetrating aortic injury by detached rib fragment was appreciated by aortogram. Unfortunately, active aortic hemorrhage made prompt thoracotomy in vain for life salvage.

Key Words: Flail chest • Aortic injury

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