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Eur J Cardiothorac Surg 2001;20:1231
© 2001 Elsevier Science NL

Images in cardio-thoracic surgery

Traumatic disruption of the aortic arch

^a Division of Cardiothoracic Surgery, Department of Surgery, University of Washington Medical Center, Box 356310, Seattle, WA 98195, USA
^b Department of Anesthesiology, University of Washington Medical Center, Box 356540, Seattle, WA, USA

Received 11 February 2001; received in revised form 30 August 2001; accepted 31 August 2001.

Corresponding author. Tel.: +1-206-221-3166; fax: +1-206-543-0325
e-mail: aldea{at}u.washington.edu

Key Words: Traumatic disruption • Thoracic aorta

A 54-year-old man presented with a decreased mental status and hypotension after a rollover motor vehicle crash. He suffered thoracic, cerebral, and orthopedic injuries in addition to a traumatic disruption of the aortic arch (Fig. 1A) . Surgical repair of the aorta was delayed four weeks, to allow for stabilization and/or improvement of his intracranial and pulmonary injuries. A 3D reconstructed chest computed tomography (CT) scan (Fig. 1B) revealed a transverse tear on the anterior wall of the aortic arch associated with a large pseudoaneurysm near the takeoff of the innominate (brachiocephalic) artery. The injury was repaired under deep hypothermic circulatory arrest without complications. A 3 month follow-up CT scan demonstrated an intact aortic repair.

View larger version (109K): [in this window] [in a new window]   Fig. 1. (A) Arch angiogram showing the traumatic disruption of the aortic arch. (B) 3D reconstructed computed tomography scan offers additional for operative planning, demonstrating the relation of the traumatic pseudoaneurysm with the origins of the innominate and left common carotid arteries.

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This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Carter, Y.M. Articles by Aldea, G.S. Search for Related Content PubMed PubMed Citation Articles by Carter, Y.M. Articles by Aldea, G.S. Related Collections Great vessels