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Delayed diagnosis of blunt thoracic aortic injury due to thoracic vertebral fracture: A case report and literature review

Blunt vascular injury of the aorta combined with thoracolumbar fracture is rare. Delayed diagnosis may have a catastrophic outcome. We present a case of blunt thoracic aortic injury combined with a vertebral body fracture at T10 after a fall from height in which the diagnosis was delayed. After cons...

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Autores principales: Lei, Xinhuan, Hong, Zhenghua, Pan, Weixing, Xiang, Jie, Luo, Hua
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9630568/
https://www.ncbi.nlm.nih.gov/pubmed/36338618
http://dx.doi.org/10.3389/fsurg.2022.980451
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author Lei, Xinhuan
Hong, Zhenghua
Pan, Weixing
Xiang, Jie
Luo, Hua
author_facet Lei, Xinhuan
Hong, Zhenghua
Pan, Weixing
Xiang, Jie
Luo, Hua
author_sort Lei, Xinhuan
collection PubMed
description Blunt vascular injury of the aorta combined with thoracolumbar fracture is rare. Delayed diagnosis may have a catastrophic outcome. We present a case of blunt thoracic aortic injury combined with a vertebral body fracture at T10 after a fall from height in which the diagnosis was delayed. After consultation with the vascular and spinal surgeons, we performed a thoracic endovascular aortic repair. When the patient’s condition had stabilized, the fractures were reduced using posterior vertebral instrumentation. Prolonged compression of the thoracic aorta resulted in extensive necrosis of muscle tissues in the right lower leg. Fortunately, clinical and radiological examinations performed 7 months and 1 year later did not reveal any further damage. Cases of thoracic vertebral fracture with concomitant blunt thoracic aortic injury reported in the literature are reviewed. Thoracic endovascular aortic repair is a feasible, safe, and effective minimally invasive treatment for aortic injury when combined with thoracic vertebral fracture.
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spelling pubmed-96305682022-11-04 Delayed diagnosis of blunt thoracic aortic injury due to thoracic vertebral fracture: A case report and literature review Lei, Xinhuan Hong, Zhenghua Pan, Weixing Xiang, Jie Luo, Hua Front Surg Surgery Blunt vascular injury of the aorta combined with thoracolumbar fracture is rare. Delayed diagnosis may have a catastrophic outcome. We present a case of blunt thoracic aortic injury combined with a vertebral body fracture at T10 after a fall from height in which the diagnosis was delayed. After consultation with the vascular and spinal surgeons, we performed a thoracic endovascular aortic repair. When the patient’s condition had stabilized, the fractures were reduced using posterior vertebral instrumentation. Prolonged compression of the thoracic aorta resulted in extensive necrosis of muscle tissues in the right lower leg. Fortunately, clinical and radiological examinations performed 7 months and 1 year later did not reveal any further damage. Cases of thoracic vertebral fracture with concomitant blunt thoracic aortic injury reported in the literature are reviewed. Thoracic endovascular aortic repair is a feasible, safe, and effective minimally invasive treatment for aortic injury when combined with thoracic vertebral fracture. Frontiers Media S.A. 2022-10-20 /pmc/articles/PMC9630568/ /pubmed/36338618 http://dx.doi.org/10.3389/fsurg.2022.980451 Text en © 2022 Lei, Hong, Pan, Xiang and Luo. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Lei, Xinhuan
Hong, Zhenghua
Pan, Weixing
Xiang, Jie
Luo, Hua
Delayed diagnosis of blunt thoracic aortic injury due to thoracic vertebral fracture: A case report and literature review
title Delayed diagnosis of blunt thoracic aortic injury due to thoracic vertebral fracture: A case report and literature review
title_full Delayed diagnosis of blunt thoracic aortic injury due to thoracic vertebral fracture: A case report and literature review
title_fullStr Delayed diagnosis of blunt thoracic aortic injury due to thoracic vertebral fracture: A case report and literature review
title_full_unstemmed Delayed diagnosis of blunt thoracic aortic injury due to thoracic vertebral fracture: A case report and literature review
title_short Delayed diagnosis of blunt thoracic aortic injury due to thoracic vertebral fracture: A case report and literature review
title_sort delayed diagnosis of blunt thoracic aortic injury due to thoracic vertebral fracture: a case report and literature review
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9630568/
https://www.ncbi.nlm.nih.gov/pubmed/36338618
http://dx.doi.org/10.3389/fsurg.2022.980451
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