Challenges in acute care surgery: management of severe proximal blunt aortic injury

Correspondence to Dr Gregory R Stettler; gstettle@wakehealth.edu Case summary An adult patient in their 60s presents to the emergency department after sustaining injuries in a motor vehicle collision. Once the patient arrived at the trauma center, they were hypotensive with systolic blood pressure o...

Full description

Saved in:
Bibliographic Details
Published inTrauma surgery & acute care open Vol. 9; no. 1; p. e001249
Main Authors Stettler, Gregory R, Crouse, David S, Velazquez, Gabriela A, Martin, R Shayn
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group Ltd 01.02.2024
BMJ Publishing Group LTD
BMJ Publishing Group
Subjects
Abdomen
Aorta, Thoracic
Carotid arteries
Challenges in trauma and acute care surgery
Hemorrhage
Injuries
Ischemia
Medical imaging
Multiple Trauma
Patients
Pseudoaneurysm
Stroke
Surgery
Trauma
Veins & arteries
Aorta, Thoracic
Multiple Trauma
Online AccessGet full text

Cover

More Information
Summary:Correspondence to Dr Gregory R Stettler; gstettle@wakehealth.edu Case summary An adult patient in their 60s presents to the emergency department after sustaining injuries in a motor vehicle collision. Once the patient arrived at the trauma center, they were hypotensive with systolic blood pressure of 70 mm Hg. CT imaging was performed which revealed multiple bilateral rib fractures, a small subdural hemorrhage and small subarachnoid hemorrhage, C2 vertebral body fracture with possible ligamentous injury, a left humerus and scapular body fracture, manubrium fracture, and a severe blunt aortic injury (BAI) with pseudoaneurysm proximal to the left subclavian artery (American Association for the Surgery of Trauma (AAST) grade IV or Society for Vascular Surgery (SVS) grade III) measuring almost 2 cm in size (figure 1).
ISSN:2397-5776
2397-5776
DOI:10.1136/tsaco-2023-001249