Ulus Travma Acil Cerrahi Derg. 2007; 13(2): 158-161

Künt travmaya baðlý farkedilmeyen aort transeksiyonu: Olgu sunumu

Nezihi Küçükarslan¹, Eralp Ulusoy², Mehmet Yýlmaz¹, Mutasým Süngün¹, Melih Hulusi Us¹, Adem Güler¹, Ahmet Turan Yýlmaz^1
1Gata Haydarpaþa Eðitim Ve Araþtýrma Hastanesi Kalp Ve Damar Cerrahisi Kliniði, Ýstanbul, Türkiye
²Gata Haydarpaþa Eðitim Ve Araþtýrma Hastanesi Kardiyoloji Kliniði, Ýstanbul, Türkiye

Künt travmalardan sonra oluþabilen gözden kaçmýþ damar yaralanmalarý yaþamý tehdit eden ve acil giriþim gerektiren klinik tablolarý ortaya çýkarýr. Aort transeksiyonu (AT) bu gözden kaçabilecek vasküler yaralanmalarýn en ölümcül olanýdýr. Bu yazýda künt travma sonrasý meydana gelen bir AT olgusu sunuldu. Üç yýl önce künt travmaya maruz kaldýðýný bildiren hasta eforla gelen nefes darlýðý ve çarpýntý þikayetiyle baþvurdu. Telegrafisinde üst mediastende geniþleme, torakal manyetik rezonans anjiyografi ve bilgisayarlý tomografisinde transeksiyon ve inen aortada anevrizmatik geniþleme saptandý. Cerrahi tedavide Dakron greft interpozisyonu yapýldý. Ameliyattan sonra hastanýn yakýnmalarý ve bulgularý dramatik olarak geriledi. Künt travmalardan sonra geliþebilen AT, yaþamý tehdit eden ve mutlaka araþtýrýlmasý gereken bir tablodur.

Anahtar Kelimeler: Aort, torasik/yaralanma/radyografi, transeksiyon; künt travma.

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Missed aortic transection following blunt trauma: a case report

Nezihi Küçükarslan¹, Eralp Ulusoy², Mehmet Yýlmaz¹, Mutasým Süngün¹, Melih Hulusi Us¹, Adem Güler¹, Ahmet Turan Yýlmaz^1
1Department Of Cardiovascular Surgery, Gülhane Military Medical Academy, Haydarpaþa Training Hospital, Istanbul, Turkey
²Department Of Cardiology, Gülhane Military Medical Academy, Haydarpaþa Training Hospital, Istanbul, Turkey

Missed vascular injuries following blunt traumas can lead to fatal clinical conditions that require an emergency intervention. Aortic transection (AT) is the most fatal complication of these missed vascular injuries. In this case report an AT that developed following a blunt trauma is presented. The patient was admitted with effort dyspnea and tachycardia. He had a history of blunt trauma three years ago. There was an enlargement of the upper mediastinum on X-ray studies. Thoracal magnetic resonance imaging and computed tomography revealed aneursym of the descending aorta. Dacron graft interposition was performed as surgical treatment. The symptom and signs disappeared dramatically after the operation.

Keywords: Aorta, thoracic/injuries/radiography, transection; blunt trauma.

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