J Korean Soc Traumatol.  2018 Apr;31(1):29-33. 10.20408/jti.2018.31.1.29.

Delayed Surgical Management of Traumatic Pseudoaneurysm of the Ascending Aorta in Multiple Trauma

• Ma DS
• Kim SJ
• Joo S
• Hyun SY
• Jeon YB

• KMID: 2437318
• DOI: http://doi.org/10.20408/jti.2018.31.1.29

Abstract

Traumatic blunt aortic injury especially on proximal ascending aorta is a rare injury with a few reports. Generally emergency surgical management was performed. In this case, however, in multiple trauma with brain injury, emergency surgical management of aortic injury might result in unexpected secondary injury of the brain. Herein, we report a case of a 33-year-old man who was driving a truck was injured in a head-on collision. Evaluation revealed a pseudoaneurysm on his ascending aorta concomitant with epidural hemorrhage. He was treated by surgical management of his ascending aorta after 3 days from accident. There were no postoperative and neurologic complications and the patient was discharged after 18 days.

Keyword

Trauma; Pseudoaneurysm; Ascending aorta

MeSH Terms

Adult
Aneurysm, False*
Aorta*
Brain
Brain Injuries
Emergencies
Hemorrhage
Humans
Motor Vehicles
Multiple Trauma*