Chronic Thoracic Aortic Aneurysm Presenting 29 Years following Trauma

S Miller, P Kumar, R Van den Bosch… - Case Reports in …, 2015 - Wiley Online Library
S Miller, P Kumar, R Van den Bosch, A Khanafer
Case Reports in Surgery, 2015Wiley Online Library
Blunt, nonpenetrating injuries of the thoracic aorta are uncommon and associated with a
high mortality rate within the first hour. Aortic injury is missed in 1‐2% of patients that survive
to hospital, and a chronic thoracic aortic aneurysm may subsequently form. We present a
case in which a chronic thoracic aortic aneurysm was diagnosed 29 years following a
significant motor vehicle accident. We discuss the epidemiology, presentation, and
management of this uncommon consequence of blunt, nonpenetrating aortic injury. Our …
Blunt, nonpenetrating injuries of the thoracic aorta are uncommon and associated with a high mortality rate within the first hour. Aortic injury is missed in 1‐2% of patients that survive to hospital, and a chronic thoracic aortic aneurysm may subsequently form. We present a case in which a chronic thoracic aortic aneurysm was diagnosed 29 years following a significant motor vehicle accident. We discuss the epidemiology, presentation, and management of this uncommon consequence of blunt, nonpenetrating aortic injury. Our case illustrates an important clinical lesson; a past medical history of trauma should not be overlooked at any patient assessment.
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