Tension hemothorax in aortic rupture: A case report
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00843989%3A_____%2F21%3AE0109160" target="_blank" >RIV/00843989:_____/21:E0109160 - isvavai.cz</a>
Alternative codes found
RIV/61988987:17110/21:A2202CUF
Result on the web
<a href="https://www.mdpi.com/1648-9144/57/8/790" target="_blank" >https://www.mdpi.com/1648-9144/57/8/790</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.3390/medicina57080790" target="_blank" >10.3390/medicina57080790</a>
Alternative languages
Result language
angličtina
Original language name
Tension hemothorax in aortic rupture: A case report
Original language description
Background: The standard ATLS protocol calls for chest drain insertion in patients with hemothorax before performing further diagnostic steps. However, if trauma-induced thoracic aortic rupture is the underlying cause, such drainage can lead to massive bleeding and death of the patient. Case report: This report describes a case of a polytrauma patient (car accident), aged 21, with symmetrical chest and decreased breath sounds dorsally on the left. An urgent CT scan revealed subadventitial Grade III thoracic aortic transection with mediastinal hematoma, a massive left-sided hemothorax with mediastinal shift to the right, and other injuries. Stent-graft implantation with subsequent left hemithorax drainage was urgently performed, during which the patient became increasingly unstable from the circulatory point of view. This traumatic hemorrhagic shock was successfully managed at the ICU. Conclusion: Although hemothorax is a serious condition requiring rapid treatment, the knowledge of its origin is of utmost importance; performing chest drainage without bleeding control can lead to circulatory instability and death of the patient. Hence, where aortic injury can be suspected based on the mechanism of the injury, it is beneficial to perform spiral CT angiography for accurate diagnosis first and, in cases of aortic injury, to control the bleeding prior to drainage.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30211 - Orthopaedics
Result continuities
Project
<a href="/en/project/EF17_049%2F0008441" target="_blank" >EF17_049/0008441: Innovative therapeutic methods of musculoskeletal system in accident surgery</a><br>
Continuities
P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)
Others
Publication year
2021
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Medicina
ISSN
1010-660X
e-ISSN
1648-9144
Volume of the periodical
57
Issue of the periodical within the volume
790)
Country of publishing house
CH - SWITZERLAND
Number of pages
6
Pages from-to
1-6
UT code for WoS article
000689340300001
EID of the result in the Scopus database
2-s2.0-85112594876