• Gen Thorac Cardiovasc Surg · Jun 2007

    Case Reports

    Sharp rib fragment threatening to lacerate the aorta in a patient with flail chest.

    • Sojiro Sata, Junichi Yoshida, Takahiro Nishida, and Yasutaka Ueno.
    • Department of Chest Surgery, Shimonoseki City Central Hospital, Koyo-cho, Shimonoseki 750-8520, Japan. soj-kei.sata@hig.bbiq.jp
    • Gen Thorac Cardiovasc Surg. 2007 Jun 1; 55 (6): 252-4.

    AbstractA 50-year-old man who was the victim of an accident during work was taken to the hospital. His chest radiograph and computed tomography (CT) scan showed pulmonary contusion, multiple rib fractures (left 5th to 1lth ribs), hemopneumothorax, and splenic rupture. On the fourth posttrauma day, CT showed bone particles of the ninth rib migrating to the thoracic aorta. These bone particles were threatening to penetrate the thoracic aorta. He underwent operation to repair the flail chest by approximating the left ribs and partial lung resection. After the operation the flail chest improved, enabling extubation the first day after the operation. He was mobile and was discharged on the 17th postoperative day. A literature review revealed cases of sudden death when such rib fragments lacerated the aorta. We therefore propose an early operation for patients who have multiple bone fractures in the left chest.

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