Delayed aortic injury after thoracic corrective osteotomy: a case report

Iatrogenic thoracic aortic injury in esophagectomy – a case report and literature review

Perspectives in Surgery ◽

10.33699/pis.2019.98.6.256-259 ◽

2019 ◽

Vol 98 (6) ◽

pp. 256-259

Keyword(s):

Case Report ◽

Minimally Invasive ◽

Thoracic Aorta ◽

Aortic Rupture ◽

Hypovolemic Shock ◽

Left Lung ◽

Aortic Injury ◽

Thoracoscopic Esophagectomy ◽

Neoadjuvant Radiochemotherapy ◽

Thoracic Aortic Injury

Introduction: This case report describes bleeding from an iatrogenic thoracic aortic injury in minimally invasive thoracoscopic esophagectomy. Case report: A 53-year-old man underwent neoadjuvant radiochemotherapy for adenocarcinoma of the esophagus with positive lymph nodes. PET/CT showed only a partial response after neoadjuvant therapy. Minimally invasive thoracoscopic esophagectomy in the semi-prone position with selective intuba- tion of the left lung was performed. However, massive bleeding from the thoracic aorta during separation of the tumor resulted in conversion from minimally invasive to conventional right thoracotomy. The bleeding was caused by a five millimeter rupture of the thoracic aorta. The thoracic aortic rupture was treated by suture with a gore prosthesis in collaboration with a vascular surgeon. Esophagestomy was not completed due to hypovolemic shock. Hybrid transhiatal esophagectomy was performed on the seventh day after the primary operation. Definitive histological examination showed T3N3M0 adenocarcinoma. Conclusion: Esophagectomy for cancer of the esophagus is one of the most difficult operations in general surgery in which surgical bleeding from the surrounding structures cannot be excluded. Aortic hemorrhage is hemodynamically significant in all cases and requires urgent surgical treatment.

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Simultaneous Endovascular Repair of a Thoracic Aortic Injury during Posterior Pedicle Screw Removal: A Case Report

Annals of Vascular Surgery ◽

10.1016/j.avsg.2017.10.021 ◽

2018 ◽

Vol 48 ◽

pp. 252.e1-252.e4 ◽

Cited By ~ 3

Author(s):

Serena Martin ◽

Richard Lindsay ◽

Robin C. Baker

Keyword(s):

Case Report ◽

Pedicle Screw ◽

Endovascular Repair ◽

Aortic Injury ◽

Thoracic Aortic Injury

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Abdominal aortic injury due to lumbar disc surgery: A case report

Turkish Journal of Surgery ◽

10.5152/ucd.2013.33 ◽

2014 ◽

Vol 29 (4) ◽

pp. 192-196 ◽

Cited By ~ 2

Author(s):

Ramazan Yildiz ◽

Muharrem Oztas ◽

Mehmet Ali Sahin ◽

Gokhan Yagci

Keyword(s):

Case Report ◽

Lumbar Disc ◽

Aortic Injury ◽

Lumbar Disc Surgery ◽

Disc Surgery ◽

Abdominal Aortic

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Traumatic Aortic Injury in a 3-Year-Old Child - A Case Report and Literature Review

Austin - Critical Care Journal ◽

10.26420/austincritcarej.2021.1038 ◽

2021 ◽

Vol 8 (2) ◽

Author(s):

Aljohani M ◽

◽

Alanazi S ◽

Keyword(s):

Case Report ◽

Significant Contribution ◽

Motor Vehicle ◽

Motor Vehicle Accident ◽

Aortic Injury ◽

Vehicle Accidents ◽

Vehicle Accident ◽

Pseudo Aneurysm ◽

High Index Of Suspicion ◽

Tomography Scan

This case report describes a case of aortic injury with pseudo-aneurysm in a 3-year-old Saudi boy following a motor vehicle accident. The diagnosis was suspected on computed tomography scan, and emergency surgery was performed. A Dacron graft was inserted to repair the injured aorta. Postoperatively, absent femoral, and distal pulses were noted, and thromboembolectomy was performed with good outcome. We believe that our study makes a significant contribution to the literature because it raises awareness of aortic injury and rupture in pediatric patients with multi-organ trauma following motor vehicle accidents. A high index of suspicion and early intervention are essential in improving outcomes.

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Iatrogenic Aortic Transection in a Child

Aorta ◽

10.12945/j.aorta.2015.14-043 ◽

2015 ◽

Vol 03 (01) ◽

pp. 38-40

Author(s):

Ram Sherawat ◽

Anil Sharma ◽

Sunil Dixit ◽

Mohit Sharma ◽

Sidarth Lukaram

Keyword(s):

Case Report ◽

Abdominal Aorta ◽

Positive Impact ◽

Aortic Injury ◽

Delayed Repair ◽

Vascular Stability ◽

Impact On Survival ◽

Aortic Transection

AbstractThe accepted treatment for aortic injury has been repair of the injury as soon as possible. Delayed repair is not generally fruitful, but in our case report, delay in the repair of a ligated and transected abdominal aorta is safe and has a potential positive impact on survival and vascular stability/integrity. This case seems worth reporting.

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