Kanamori Taro, Ichihara Tetsuya, Sakaguchi Hidehito, Inoue Takehiko
Department of Cardiovascular Surgery, Chibanishi General Hospital, Matsudo, Japan.
Kyobu Geka. 2014 Jun;67(6):483-5.
We herein report a rare case of surgical treatment for blunt traumatic injury of the ascending aorta and aortic arch. A 60-year-old male was crushed by an arm of a forklift while working. He suffered from multiple thoracic traumas, including injury of the ascending aorta and aortic arch, multiple fractures of the ribs and bilateral hemopneumothorax. An emergency surgery for aortic repair was performed because there were no other severe hemorrhagic compilations due to organ injures. There was a massive hematoma around the aortic arch, and the intimae of several parts of the distal ascending aorta and aortic arch were disrupted circumferentially. The aorta was replaced with a prosthetic graft from sinotubular junction to the aortic arch, between the left common carotid artery and the left subclavian artery. The patient's postoperative course was uneventful, and he was transferred to a rehabilitation facility on the 13th day after surgery.
我们在此报告一例升主动脉和主动脉弓钝性创伤的罕见手术治疗病例。一名60岁男性在工作时被叉车臂挤压。他遭受了多处胸部创伤，包括升主动脉和主动脉弓损伤、多根肋骨骨折以及双侧血气胸。由于没有因器官损伤导致的其他严重出血并发症，因此进行了主动脉修复急诊手术。主动脉弓周围有巨大血肿，升主动脉远端和主动脉弓的几个部位内膜呈环形破裂。在左颈总动脉和左锁骨下动脉之间，从窦管交界处到主动脉弓用人工血管替换了主动脉。患者术后恢复顺利，术后第13天被转至康复机构。
