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A Rare Case and Presentation of Traumatic Penetrating Aortic Arch Injury: A Case Report and Literature Review.

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العنوان: A Rare Case and Presentation of Traumatic Penetrating Aortic Arch Injury: A Case Report and Literature Review.
المؤلفون: AlAli MN; General Surgery, Prince Mohammed bin Abdulaziz Hospital, Riyadh, SAU., Essa MS; General Surgery, Prince Mohammed bin Abdulaziz Hospital, Riyadh, SAU., Alasheikh M; General Surgery, Prince Mohammed bin Abdulaziz Hospital, Riyadh, SAU., Alrashed M; General Surgery, Prince Mohammed bin Abdulaziz Hospital, Riyadh, SAU., Albdah AM; Trauma Surgery, Prince Mohammed bin Abdulaziz Hospital, Riyadh, SAU., Arrowaili A; General Surgery, College of Medicine, Al-Imam Muhammad Ibn Saud Islamic University, Riyadh, SAU.
المصدر: Cureus [Cureus] 2022 Nov 03; Vol. 14 (11), pp. e31069. Date of Electronic Publication: 2022 Nov 03 (Print Publication: 2022).
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: A penetrating injury to the thoracic aorta is an extremely rare, life-threatening condition, with a high overall mortality rate. The incidence of a penetrating injury to the aortic arch is unknown because the majority of patients die before receiving adequate treatment due to excessive bleeding. Through a literature review, 23 cases of favorable outcomes were found. We report the first case from the Arab Gulf states. We present the extremely rare case of a 23-year-old male who presented to the emergency department with stable hemodynamics after being stabbed in the left supraclavicular region. The investigation revealed that he suffered from aortic arch transection and contrast extravasation. The patient was rushed to the operating room, where a primary repair was performed through a median sternotomy approach. The patient was discharged on the 14th postoperative day without complications. Penetrating chest trauma (aortic arch injury) is uncommon, and it is typically fatal at the scene or time of injury, even in patients who arrive at the emergency department alive or while undergoing surgery. CT aortography should be performed on patients with normal vital signs but abnormal clinical findings suggestive of a vascular injury. For injuries of types II to IV without concomitant injuries, immediate surgical repair is recommended. Aortic arch penetrating injuries continue to be extremely lethal. Emergency surgical repair remains the standard of care and is associated with high morbidity and mortality rates. However, managing such uncommon injuries remains a formidable challenge. We encourage additional studies.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2022, AlAli et al.)
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فهرسة مساهمة: Keywords: aortic arch; chest injury; median thoracotomy; penetrating trauma; supraclavicular trauma; surviving trauma
تواريخ الأحداث: Date Created: 20221116 Latest Revision: 20221117
رمز التحديث: 20240829
مُعرف محوري في PubMed: PMC9651210
DOI: 10.7759/cureus.31069
PMID: 36382322
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.31069