Abstract
Rapid deceleration injury causing blunt thoracic trauma can result in injury to the thoracic aorta. Rupture of the aortic isthmus is the most common presentation; however, injury can occur more proximally in the arch vessels or the aortic root. We present an unusual case of simultaneous innominate artery disruption with aortic valve rupture after a motor vehicle accident, and we discuss issues surrounding the diagnosis and operative management of this rare, but life-threatening condition.
Publication types
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Case Reports
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Research Support, Non-U.S. Gov't
MeSH terms
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Accidents, Traffic
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Adult
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Anastomosis, Surgical
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Aneurysm, False / etiology
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Aneurysm, False / surgery
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Aortic Valve / injuries*
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Aortic Valve / surgery
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Aortic Valve Insufficiency / etiology*
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Aortic Valve Insufficiency / surgery
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Brachiocephalic Trunk / injuries*
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Brachiocephalic Trunk / surgery
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Cardiopulmonary Bypass
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Chest Tubes
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Cold Temperature / adverse effects
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Deceleration / adverse effects*
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Emergencies
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Heart Arrest, Induced
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Heart Injuries / etiology
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Heart Injuries / surgery*
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Heart Valve Prosthesis Implantation
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Humans
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Immersion
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Male
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Multiple Trauma
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Rewarming
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Tomography, Spiral Computed
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Wounds, Nonpenetrating / surgery