Traumatic aortic arch false aneurysm after blunt chest trauma in a motocross rider

Bizzarri, Federico; Mattia, Consalvo; Ricci, Massimo; Chirichilli, Ilaria; Santo, Chiara; Ritchie, David; Muzzi, Luigi; Pugliese, Giuseppe; Frati, Giacomo; Sartini, Patrizio; Ferrari, Riccardo; Rocca, Carlo Della; Laghi, Andréa

doi:10.1186/1749-8090-3-23

Cited by 14 publications

(10 citation statements)

References 1 publication

(1 reference statement)

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“…Thoracic aortic pseudoaneruysm is a rare and potentially fatal problem 6. A perfused pseudoaneurysm may partially clot and organize with a fibrous wall potentially evolving into a large pseudoaneurysm which is prone to rupture 7. In our patient, TEVAR remained the only feasible option.…”

Section: Discussionmentioning

confidence: 73%

Thoracic Endovascular Aortic Repair with the Chimney Technique for Blunt Traumatic Pseudoaneurysm of the Aortic Arch in a No-Option Patient

et al. 2013

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A 42-year-old man was involved in a motor vehicle collision. Imaging studies revealed the presence of a post-traumatic aortic pseudo-aneurysm (about 34×26 cm) arising from the descending thoracic aorta at the level of the left subclavian artery (LSA), prone to rupture. Thoracic endovascular aneurysm repair (TEVAR) was the only feasible option due to his poor overall medical status. In this case, LSA needed to be covered in order to extend the proximal landing zone. Eventually, modified TEVAR was successfully performed by means of the chimney technique to preserve flow to the LSA and to prevent flow into the pseudoaneurysmal sac.

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Section: Discussionmentioning

confidence: 73%

Thoracic Endovascular Aortic Repair with the Chimney Technique for Blunt Traumatic Pseudoaneurysm of the Aortic Arch in a No-Option Patient

et al. 2013

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“…Direct signs of TAI include active contrast medium extravasation, an intimal flap, TAPA, an increase in size of the periaortic hematoma, aortic contour/diameter variation, contained rupture, intraluminal mural thrombus, abnormal aortic contour, recurrent hemothorax and abrupt change in aortic caliber (pseudocoarctation) [1-3,6,7]. Indirect CT signs are indistinctness of mediastinal flat planes, periaortic haematoma and mediastinal haematoma [2,3,6]. …”

Section: Discussionmentioning

confidence: 99%

“…The risk of aortic rupture in traumatic aortic injury has been reported approximately 5% in the acute phase [1]. Thoracic aortic pseudoaneurysm is a rare and life-threatening complication of traumatic aortic injury with an incidence of 2%–5% [2]. The most commonly involved site is isthmus.…”

Section: Introductionmentioning

confidence: 99%

Endovascular treatment for traumatic thoracic aortic pseudoaneurysm: a case report

Tsai

Lin

et al. 2013

J Cardiothorac Surg

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Cases of an endovascular treatment for traumatic aortic injury are extremely rare. A prompt diagnosis of traumatic thoracic aortic pseudoaneurysm through a 3-dimensional computed tomographic angiography of aorta and emergency repair are mandatory to rescue the life-threatening condition. An endovascular treatment is a trend for traumatic aortic injury because of lower invasivity, morbidity and mortality. We reported a rare case of traumatic aortic injury with thoracic aortic pseudoaneurysm definitively diagnosed by the reconstructional computed tomographic angiography of aorta and successfully treated with endovascular stent-graft.

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“…Motocross patients with chest trauma typically present with other associated injuries [16]. Rare catastrophic injuries have been reported, including aortic false aneurysm and cardiac ischemia due to coronary artery dissection from blunt chest trauma [33,34]. Spine injuries with permanent neurologic defect have been reported, despite the use of safety equipment (table 5) [25].…”

Section: Anatomic Locationmentioning

confidence: 99%

The Epidemiology of Injury in ATV and Motocross Sports

Larson

McIntosh²

2012

Medicine and Sport Science

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Off-road motorsports are popular in rural and suburban areas, and allow for racing, recreation, and easy access to backcountry destinations. This chapter will review the incidence and types of injuries sustained in off-road motorsports. We completed a structured review of motocross and all-terrain vehicle (ATV) injuries, assessing for injury rates, risk factors, and mortality figures. Information for this study was obtained from a PubMed search under the terms 'motocross', 'motorcross', 'all-terrain vehicles', 'injury', 'motorcycle', 'ATV'. Abstracts and articles in the English language from 1980 onward were reviewed. Further statistics were obtained from the US Consumer Product Safety Commission publications. Operating vehicles off-road requires coordination, experience, and training. Motocross is an organized sport with national associations governing the competition of highly trained athletes. ATVs are used both recreationally and commercially, typically for farming and ranching. ATV use appears more dangerous that motocross, with a higher mortality rate, disproportionately for children. Both sports continue to have high rates of head, spinal cord, and extremity injury. Future prospective studies in off-road motorsports should evaluate the risk factors for injury and target specific areas for injury prevention. Improved training programs, use and improvement of safety helmets, and for ATV use, limiting access to minors, may improve the overall safety of off-road motorsports.

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Traumatic aortic arch false aneurysm after blunt chest trauma in a motocross rider

Abstract: This article details a case report of a traumatic aortic arch false aneurysm after blunt chest trauma. Thoracic aorta false aneurysms are a rare and life-threatening complication of aortic surgery, infection, genetic disorders and trauma.

Cited by 14 publications

References 1 publication

Thoracic Endovascular Aortic Repair with the Chimney Technique for Blunt Traumatic Pseudoaneurysm of the Aortic Arch in a No-Option Patient

Thoracic Endovascular Aortic Repair with the Chimney Technique for Blunt Traumatic Pseudoaneurysm of the Aortic Arch in a No-Option Patient

Endovascular treatment for traumatic thoracic aortic pseudoaneurysm: a case report

The Epidemiology of Injury in ATV and Motocross Sports

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