Bagle Aparna, Jani Hashika, Veer Sandeep, Jain Runjhun, Muruganandam Sharan
Anesthesiology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to Be University), Pune, IND.
Cureus. 2024 Aug 18;16(8):e67153. doi: 10.7759/cureus.67153. eCollection 2024 Aug.
This case report describes the successful management of a 23-year-old male with traumatic aortic aneurysm and dissection, concomitant with bilateral lower limb fractures, highlighting the complexities and challenges of managing such a patient. The patient presented with extensive trauma, including chest pain, cough, and hoarseness of voice, and was diagnosed with a large fusiform aneurysm and dissection of the aorta. A multidisciplinary approach was adopted, and the patient underwent open reduction and internal fixation (ORIF) under combined spinal-epidural anesthesia. Meticulous hemodynamic control and vigilant monitoring ensured a stable intraoperative course. The aortic aneurysm was managed conservatively, and the patient was closely monitored for complications. This case report emphasizes the importance of interdisciplinary synergy, meticulous planning, and vigilant monitoring in managing high-risk patients and demonstrates the successful implementation of evidence-based practices in mitigating potential risks. The patient's successful outcome highlights the impact of collaboration between anesthesiologists, orthopedic surgeons, cardiovascular surgeons, and intensivists in managing complex and daunting injuries.
本病例报告描述了一名23岁男性创伤性主动脉瘤合并夹层，并伴有双侧下肢骨折的成功治疗过程，突出了管理此类患者的复杂性和挑战。患者因广泛创伤就诊，包括胸痛、咳嗽和声音嘶哑，被诊断为大型梭形主动脉瘤合并主动脉夹层。采用了多学科方法，患者在腰麻-硬膜外联合麻醉下接受切开复位内固定术（ORIF）。精心的血流动力学控制和严密监测确保了术中过程平稳。主动脉瘤采取保守治疗，并对患者密切监测并发症。本病例报告强调了跨学科协同、精心规划和严密监测在管理高危患者中的重要性，并展示了循证实践在降低潜在风险方面的成功实施。患者的成功结局凸显了麻醉医生、骨科医生、心血管外科医生和重症监护医生之间合作在处理复杂且艰巨损伤方面的影响。
