• Surgery today · Jan 2003

    Case Reports

    Rupture of the descending thoracic aorta caused by blunt chest trauma: report of a case.

    • Akira Iyoda, Nobumasa Satoh, Hisami Yamakawa, Michio Fujino, Kenzo Hiroshima, and Takehiko Fujisawa.
    • Department of Thoracic Surgery, National Chiba Higashi Hospital, 673 Nitona-cho, Chuo-ku, Chiba 260-8712, Japan.
    • Surg. Today. 2003 Jan 1;33(10):755-7.

    AbstractA 66-year-old man fell from a tree and was diagnosed to have multiple fractured ribs and hemopneumothorax based upon the chest roentgenogram findings. He underwent chest tube drainage and evacuation using video-assisted thoracic surgery. One week after the operation, he exhibited recurrent hemothorax. He underwent a thoracotomy, and the hemothorax was found to be due to a penetration of the lower descending thoracic aorta by a fractured rib. We performed a direct closure of the penetrated portion of the descending thoracic aorta. The patient has remained well for 1 year following the second operation.

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