A rare case of penetrating thoracic aortic injury

Xiaoyin Huang; Feiyan Chen; Changjiang Yu; Enguo Chen; Daoyang Zhou

doi:10.1016/j.ijscr.2023.108184

A rare case of penetrating thoracic aortic injury

Int J Surg Case Rep. 2023 May:106:108184. doi: 10.1016/j.ijscr.2023.108184. Epub 2023 Apr 12.

Authors

Xiaoyin Huang¹, Feiyan Chen², Changjiang Yu³, Enguo Chen⁴, Daoyang Zhou⁵

Affiliations

¹ Department of Emergency, Sir Run Run Shaw Hospital, Medical School of Zhejiang University, Hangzhou 310000, China.
² Department of Catheterization Room, Sir Run Run Shaw Hospital, Medical School of Zhejiang University, Hangzhou 310000, China.
³ Department of Cardiac Surgery, Sir Run Run Shaw Hospital, Medical School of Zhejiang University, Hangzhou 310000, China.
⁴ Department of Respiratory Medicine, Sir Run Run Shaw Hospital, Medical School of Zhejiang University, Hangzhou 310000, China.
⁵ Department of Emergency, Sir Run Run Shaw Hospital, Medical School of Zhejiang University, Hangzhou 310000, China. Electronic address: 3195023@zju.edu.cn.

Abstract

Introduction and importance: Thoracic aortic injuries could be lethal events. Penetrating injuries to aortic are highly fatal, but these cases are rare in hospital.

Case presentation: A 54-year-old man presented with cough for half a month and cough up blood for half a day before he went into our hospital. No obvious positive sign was detected in physical examination.

Clinical findings and investigations: Chest computed tomography (CT) showed positive foreign body in the mediastinum, which penetrated the left main bronchus from front to back and penetrated the thoracic aorta backwards.

Interventions and outcome: An endovascular stent graft was implanted to ensure that the penetrating aortic injury remains stable; then bronchoscopic evaluation was performed to remove the foreign body. The patient recovered uneventfully. No discomfort has been complained of during regular follow-up.

Relevance and impact: Endovascular stent repair is an effective lifesaving method for patients with penetrating aortic injury and with surgical contraindications.

Keywords: Endovascular therapy; Penetrating injury; Thoracic aortic injury.

Publication types

Case Reports