Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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Delayed Aortic Injury Caused by a Posterior Rib Fracture: A Case Report

늑골 골절에 의해 발생한 지연성 대동맥 손상에 대한 치험 1례

  • Kim, Chang-Wan (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Choi, Seon Uoo (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Kim, Seon Hee (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Kim, Jae Hun (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Hwang, Jung Joo (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Cho, Hyun Min (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Song, Seung Hwan (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Pusan National University) ;
  • Cho, Jeong Su (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Pusan National University)
  • 김창완 (부산대학교병원 외상외과) ;
  • 최선우 (부산대학교병원 외상외과) ;
  • 김선희 (부산대학교병원 외상외과) ;
  • 김재훈 (부산대학교병원 외상외과) ;
  • 황정주 (부산대학교병원 외상외과) ;
  • 조현민 (부산대학교병원 외상외과) ;
  • 송승환 (부산대학교 의과대학 흉부외과학교실) ;
  • 조정수 (부산대학교 의과대학 흉부외과학교실)
  • Received : 2014.11.24
  • Accepted : 2015.01.06
  • Published : 2015.03.31
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Abstract

Traumatic aortic injury is well recognized as a primary cause of instantaneous death in victims of thoracic blunt trauma presenting with an aortic rupture or dissection, particularly after a deceleration injury. However, a direct aortic injury caused by a fractured rib segment after blunt thoracic trauma is extremely rare. We report the case of a 43-year-old male patient who experienced an aortic injury caused by the sharp edge of a fractured rib after multiple rib fractures due to blunt thoracic trauma.

Keywords

References

  1. O'Conor CE. Diagnosing traumatic rupture of the thoracic aorta in the emergency department. Emerg Med J 2004; 21: 414-9.
  2. Kitamura R, Colon M, Dave J. Delayed presentation of aortic laceration from seventh rib fracture: an uncommon complication. J Thorac Cardiovasc Surg 2012; 144: e121-3. https://doi.org/10.1016/j.jtcvs.2012.08.036
  3. Bruno VD, Batchelor TJ. Late aortic injury: a rare complication of a posterior rib fracture. Ann Thorac Surg 2009; 87: 301-3. https://doi.org/10.1016/j.athoracsur.2008.05.075
  4. Park HS, Ryu SM, Cho SJ, Park SM, Lim SH. A treatment case of delayed aortic injury: the patient with posterior rib fracture. Korean J Thorac Cardiovasc Surg 2014; 47: 406-8. https://doi.org/10.5090/kjtcs.2014.47.4.406
  5. Boyles AD, Taylor BC, Ferrel JR. Posterior rib fractures as a cause of delayed aortic injury: A case series and literature review. Injury Extra 2013; 44: 43-5. https://doi.org/10.1016/j.injury.2013.03.011
  6. Funaki S, Inoue M, Minami M, Okumura M. Video-assisted thoracoscopic resection of fractured ribs to prevent descending aorta injury in patient with chest trauma. Ann Thorac Cardiovasc Surg 2014; 20: 173-4. https://doi.org/10.5761/atcs.cr.12.02038