Combined Blunt Aortic and Bronchial Injury

Wong, P. C.; Koirala, Ramesh; Lee, Chuen Neng

doi:10.1016/j.athoracsur.2003.08.071

Cited by 1 publication

(1 citation statement)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Blunt thoracic trauma is seen frequently and it is one of the major injuries resulting in death in young people.The most frequent cause of trauma is motor vehicle accident.If thoracic injury is suspected, treatment of potentially fatal injuries must be prioritized.Approximately 20% to 25% of traumatic deaths at the scene of accidentare causedby isolated thoracic trauma.Twenty-five of every 100.000trauma victims die following the trauma.Deaths are often due to airway obstruction, hemorrhage, flail chest, tensionpneumothorax, cardiac tamponade, and associated intra-abdominaland skeletal injuries.Injuries to the vascular structures of thoracic outlet, especially left subclavian artery, are rare, accounting for only 1% to 2%of all vascular traumaand are typically accompanied by massive hemorrhage. (1,2,3,4,5,6) Associated organ injuries raise mortality.Involvement of heart, lung and great vessels will increase mortality. Closed observation of vital signs and serial chest radiographs are essential in monitoring such patients.…”

Section: Introductionmentioning

confidence: 99%

Left Subclavian Artery Rupture Due to Blunt Thoracic Trauma: A Case Report

Habibie¹,

Wuryantoro²

2018

JKS

View full text Add to dashboard Cite

Abstract. Blunt thoracic trauma highest incidence is in adult, 20% to 50 % of the trauma cause death. Injuries to the vascular structures of the thoracic outlet, especially left subclavian artery, are rare and typically accompanied by massive hemorrhage. Close observation of vital sign and serial chest x-ray are very important. We describe an unusual presentation of a patient who suffered traumatic rupture ofleft subclavian artery. No clinical presentation of supraclavicular hematoma, unilateral absence of radial artery pulse and mediastinal widening in chest x-ray was found, but there is a massive hemothorax. Left posterolateral thoracotomy was performed, the source of bleeding was found in the apex of the lung, suspected a rupture of the left subclavian artery. The procedure continued with median sternotomy extended to left supraclavicular incision, a rupture was found in the left subclavian artery, 1,5 cm proximal to aortic arch. Primary repair was done with a good result. Key Words : Blunt thoracic trauma, massive hemothorax, left subclavian artery rupture

show abstract

Section: Introductionmentioning

confidence: 99%