Endoprosthesis replacement of the thoracic aorta for traumatic dissection and pseudoaneurysm

Aortic injury in closed chest trauma takes the second place in the structure of mortality in closed injuries. The type of aortic injury is a crucial factor in determining the optimal timing of the operation. For many years, the treatment strategy was reduced to immediate surgical intervention. The mortality rate in open operations is still high. The widespread introduction of endovascular technologies and aortic endoprosthetics has significantly reduced mortality and reduced the number of severe postoperative complications. With the advent of new endoprostheses, the possibilities of treatment have increased even more and its results have improved for various aortic injuries. A case of successful treatment of a patient with traumatic dissection and pseudoaneurysm of the thoracic aorta by endoprosthetics is presented.

Open window thoracostomy for a chronic calcified pleural empyema in the setting of a closed chest trauma

This case report is a chronic calcified pleural empyema in a patient who suffered a closed chest trauma 30 years ago. The first goal is to demonstrate how the closed chest trauma caused a bronchopleural fistula of the calcified pleural empyema, since the patient began to report continued purulent sputum after his trauma with weight loss and the appearance of an air-fluid level in the chest CT scan (no pleurocutaneous fistula in the clinical examination). The second goal is to reveal the rule and the interest of an open window thoracostomy in the management of chronic calcified pleural empyema, since a decortication remains difficult to perform in cases like this one.

Complicated severe closed chest injury

We present an observation of severe concomitant closed chest trauma complicated by traumatic pneumonia, bilateral hemopleuritis, heart contusion, hemopericarditis, kidney contusion, post-hemorrhagic anemia. K., 61 years old, a driver, fell from the body of a car, hitting his back on the asphalt. I didnt lose consciousness. There was no hemoptysis. I was able to get to my garden plot on my own and worked there for some time. In the evening, chest pains intensified, shortness of breath appeared.