Hodjati Hossein, Mardani Parviz, Mousavi Masoud, Hoseinzadeh Ahmad, Ahmadi Sajjad, Sohrabi Sahar, Golchini Alireza
Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
Bull Emerg Trauma. 2015 Jul;3(3):111-3.
Traumatic injuries to great vessels are relative common in trauma practice. Blunt thoracic trauma may result in dissection injury to aorta and innominate artery. We herein present a late presentation of traumatic innominate artery aneurysm. A29-year-old woman presented with dyspnea to our emergency department. She had previous motor-vehicle accident a month before presentation for which had undergone chest tube insertion. She was diagnosed to have traumatic aneurysm of innominate artery resulting in tracheal stenosis resulting in acute life threatening respiratory failure. She underwent simultaneous aneurysm resection and tracheal reconstruction. She was uneventfully discharged from hospital. Any post-traumatic respiratory and cardiovascular symptoms may propound an undiagnosed serious injury to the great vessels. Extra and repetitive imaging studies may help us in better evaluation of traumatized patients with high energy mechanisms and sharp injuries to chest and neck.
大血管创伤性损伤在创伤治疗中相对常见。钝性胸部创伤可能导致主动脉和无名动脉夹层损伤。我们在此报告一例创伤性无名动脉瘤的迟发性表现。一名29岁女性因呼吸困难到我院急诊科就诊。她在就诊前一个月曾发生机动车事故，当时接受了胸腔闭式引流术。她被诊断为创伤性无名动脉瘤，导致气管狭窄，进而引发急性危及生命的呼吸衰竭。她接受了动脉瘤切除术和气管重建术。她顺利出院。任何创伤后呼吸和心血管症状都可能提示存在未被诊断的大血管严重损伤。额外的重复影像学检查可能有助于我们更好地评估因高能机制致伤以及胸部和颈部锐器伤的创伤患者。
