Polytrauma to right diaphragm, descending thoracic aorta, and innominate artery

Asian Cardiovasc Thorac Ann. 2015 Nov;23(9):1075-8. doi: 10.1177/0218492314533558. Epub 2014 Apr 28.

Abstract

Traumatic diaphragmatic rupture with concomitant great vessel injuries is a catastrophic and life-threatening injury group that requires immediate identification and management. It can be both diagnostically and therapeutically very challenging. We report a case of combined traumatic diaphragmatic, aortic and innominate artery injuries, which was managed successfully. To have a fruitful outcome, management of this injury complex should preferably be staged depending on the hemodynamic stability of the patient. In a patient with traumatic diaphragmatic injuries, one should also have a high index of suspicion of associated great vessel injuries.

Keywords: Accidents; Aorta; Brachiocephalic trunk; Hernia; Multiple trauma; Thoracic injuries; diaphragmatic; thoracic; traffic; traumatic.

Publication types

  • Case Reports

MeSH terms

  • Accidents, Traffic*
  • Aneurysm, False / diagnosis
  • Aneurysm, False / etiology*
  • Aneurysm, False / surgery
  • Aorta, Thoracic / diagnostic imaging
  • Aorta, Thoracic / injuries*
  • Aorta, Thoracic / surgery
  • Aortic Rupture / diagnosis
  • Aortic Rupture / etiology*
  • Aortic Rupture / surgery
  • Aortography / methods
  • Brachiocephalic Trunk / diagnostic imaging
  • Brachiocephalic Trunk / injuries*
  • Brachiocephalic Trunk / surgery
  • Combined Modality Therapy
  • Diaphragm / injuries*
  • Diaphragm / surgery
  • Humans
  • Male
  • Multiple Trauma / diagnosis
  • Multiple Trauma / etiology*
  • Multiple Trauma / surgery
  • Pedestrians*
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Vascular System Injuries / diagnosis
  • Vascular System Injuries / etiology*
  • Vascular System Injuries / surgery
  • Young Adult