Changlani Nikita, Panjiyar Binay K, Jha Saroj K, Khan Sanam W, Kaushal Akshita, Cherukuru Sreeja, Mahendru Diksha, Kaleem Safa
Internal Medicine, Paul L. Foster School of Medicine, El Paso, USA.
Cardiology, Harvard Medical School, Boston, USA.
Cureus. 2024 Sep 6;16(9):e68787. doi: 10.7759/cureus.68787. eCollection 2024 Sep.
Aortic transection, a near-complete tear through the layers of the aorta, is a critical condition often resulting from trauma such as motor vehicle collisions. The urgency of managing aortic transection underscores the critical need for effective interventions. We report the case of a male in his early 50s with no significant medical history who presented to the emergency department following a motor vehicle collision, sustaining multiple injuries including a descending thoracic aortic transection. Rapid diagnostic assessment confirmed the severity of the injury, necessitating immediate intervention. Endovascular aortic repair was successfully employed, highlighting its efficacy in managing acute aortic injuries. The patient responded well to treatment, underscoring the importance of timely intervention in improving patient outcomes. This case emphasizes the critical role of rapid diagnostic assessment and endovascular intervention in managing life-threatening thoracic aortic injuries, particularly in the acute setting.
主动脉横断是指主动脉各层几乎完全撕裂，这是一种危急情况，通常由机动车碰撞等创伤引起。处理主动脉横断的紧迫性凸显了有效干预措施的迫切需求。我们报告了一例50岁出头的男性病例，他没有重大病史，在机动车碰撞后被送往急诊科，多处受伤，包括降主动脉横断。快速诊断评估证实了损伤的严重性，需要立即进行干预。成功采用了血管内主动脉修复术，突出了其在处理急性主动脉损伤方面的有效性。患者对治疗反应良好，强调了及时干预对改善患者预后的重要性。该病例强调了快速诊断评估和血管内干预在处理危及生命的胸主动脉损伤中的关键作用，尤其是在急性情况下。
