Full calcium jacket: Conservative management of a traumatic aortic injury

Rishi Tripathi; Hesham Ellauzi; Mohammad A Zafar; Bulat A Ziganshin; John A Elefteriades

doi:10.1016/j.jvscit.2023.101132

Full calcium jacket: Conservative management of a traumatic aortic injury

J Vasc Surg Cases Innov Tech. 2023 Feb 20;9(2):101132. doi: 10.1016/j.jvscit.2023.101132. eCollection 2023 Jun.

Authors

Rishi Tripathi¹, Hesham Ellauzi¹, Mohammad A Zafar¹, Bulat A Ziganshin^{1

2}, John A Elefteriades¹

Affiliations

¹ Aortic Institute at Yale New-Haven, Yale University School of Medicine, New Haven, CT.
² Department of Cardiovascular and Endovascular Surgery, Kazan State Medical University, Kazan, Russia.

Abstract

We describe the case of an elderly male patient who presented with a proximal descending aortic aneurysm after a motorcycle accident in 1977. We concluded that the aorta had been transected at that time. In a rather unconventional manner, the aneurysm developed a circumferential layer of calcification that provided mechanical stability and likely prevented further degeneration. We chose not to pursue surgical intervention at the late stage of his presentation. The patient has been followed up for a period of 30 years, with no change in the size and shape of the now completely calcified aneurysm.

Keywords: Aorta; Aortic aneurysm; Calcification; Rupture; Thoracic injury; Traumatic aortic injury.

Publication types

Case Reports

Grants and funding

UL1 TR001863/TR/NCATS NIH HHS/United States