Schlosser V
Prax Klin Pneumol. 1979 Apr;33 Suppl 1:482-7.
A post-traumatic false aneurysm of the thoracic aorta is generally the result of a severe closed chest trauma in which deceleration and compression mechanisms operate on the aortic isthmus. Early diagnosis is difficult except where the lesion progresses to rupture. A not inconsiderable number of incomplete and initially closed tears in the wall of the aortic isthmus escape detection and in due course lead to dilatation of the vessel and false aneurysm. The condition is diagnosed, often accidentally, during aortography. The indications for surgical intervention are given by the aneurysm-specific complications, viz.: rupture penetration, embolization. The operation is performed with the aid of a temporary left-heart bypass; it carries a mortality of 5%.
创伤后胸主动脉假性动脉瘤通常是严重闭合性胸部创伤的结果，在这种创伤中，减速和压迫机制作用于主动脉峡部。除病变进展至破裂外，早期诊断困难。相当数量的主动脉峡部壁上不完全且最初闭合的撕裂未被发现，最终导致血管扩张和假性动脉瘤形成。这种情况常在主动脉造影时偶然被诊断出来。手术干预的指征由动脉瘤特异性并发症给出，即：破裂穿孔、栓塞。手术借助临时左心旁路进行；手术死亡率为5%。
