Double jeopardy: Successful management of a traumatic ascending aortic pseudoaneurysm with concurrent subdural hematoma

Joseph M Obeid; Camilo Martinez; Ashla Gaibi-Rodriguez; Rahul Kanade; Abenamar Arrillaga; Cynthia Leslie; Charles Fasanya; Maksim Rovensky; Timothy I Carter

doi:10.1016/j.tcr.2023.100918

Double jeopardy: Successful management of a traumatic ascending aortic pseudoaneurysm with concurrent subdural hematoma

Trauma Case Rep. 2023 Aug 21:47:100918. doi: 10.1016/j.tcr.2023.100918. eCollection 2023 Oct.

Authors

Joseph M Obeid¹, Camilo Martinez¹, Ashla Gaibi-Rodriguez¹, Rahul Kanade¹, Abenamar Arrillaga², Cynthia Leslie², Charles Fasanya², Maksim Rovensky³, Timothy I Carter³

Affiliations

¹ Department of Surgery, Stony Brook University Hospital, Stony Brook, NY, United States of America.
² Department of Trauma Surgery, Good Samaritan Hospital, West Islip, NY, United States of America.
³ Department of Cardiothoracic Surgery, St. Francis Hospital, Roslyn, NY, United States of America.

Abstract

We present the case of a 59-year-old male who sustained an ascending aortic injury and a subdural hematoma after a head on collision. After undergoing emergent craniotomy for evacuation of the subdural hematoma, he was maintained with strict blood pressure control. Once able to be safely anticoagulated, he underwent replacement of the ascending aorta. This exceedingly rare case was managed by a multidisciplinary team approach that led to an optimal outcome given his disastrous multi-traumatic injuries.

Keywords: Aortic rupture; Blunt aortic injury; Major trauma; Polytrauma; Subdural hematoma; Traumatic aortic pseudoaneurysm.

Publication types

Case Reports