Ono Shunya, Tateishi Retsu, Shioya Masato, Itoda Yoshihumi, Tsukioka Yusuke, Nakahara Yoshinori, Kanemura Takeyuki
Department of Cardiovascular Surgery, IMS Katsushika Heart Center, Tokyo, Japan.
SAGE Open Med Case Rep. 2021 Nov 23;9:2050313X211060683. doi: 10.1177/2050313X211060683. eCollection 2021.
Blunt traumatic aortic injury is a rare but life-threatening condition, usually following high-energy trauma. We present the case of a 79-year-old man who was transferred to a hospital complaining of nausea after being struck on the chest. Computed tomography led to diagnosis of ascending aortic dissection with cardiac tamponade. Emergent ascending aortic replacement was performed successfully and he was discharged home on postoperative day 24 without any complications. The key to early diagnosis of blunt traumatic aortic injury is careful and detailed history-taking. If trauma patients complain of unexplained symptoms, the threshold for conducting computed tomography should be lowered to avoid misdiagnosis or therapeutic delay.
钝性创伤性主动脉损伤是一种罕见但危及生命的疾病，通常发生在高能创伤之后。我们报告一例79岁男性患者，其在胸部受到撞击后因恶心被转送至医院。计算机断层扫描诊断为升主动脉夹层伴心脏压塞。急诊成功进行了升主动脉置换术，术后第24天他出院回家，无任何并发症。钝性创伤性主动脉损伤早期诊断的关键是仔细和详细的病史采集。如果创伤患者出现无法解释的症状，应降低进行计算机断层扫描的阈值，以避免误诊或治疗延误。
