POSTTRAUMATIC DISSECTION OF THE AORTIC IS THMUS WITH A FAVORABLE OUTCOME WITHOUT SURGERY - VALUE OF TRANSESOPHAGEAL ECHOCARDIOGRAPHY

Citation
M. Bourgeois et al., POSTTRAUMATIC DISSECTION OF THE AORTIC IS THMUS WITH A FAVORABLE OUTCOME WITHOUT SURGERY - VALUE OF TRANSESOPHAGEAL ECHOCARDIOGRAPHY, Annales francaises d'anesthesie et de reanimation, 14(2), 1995, pp. 218-221
Citations number
NO
Categorie Soggetti
Anesthesiology
ISSN journal
07507658
Volume
14
Issue
2
Year of publication
1995
Pages
218 - 221
Database
ISI
SICI code
0750-7658(1995)14:2<218:PDOTAI>2.0.ZU;2-9
Abstract
We report a case of intimal rupture of aortic isthmus in a severe poly trauma patient diagnosed with transoesophageal echocardiography (TEE). TEE findings were as follows: localized intimal tear without increase d aortic diameter or pseudoaneurysm, absence of mediastinal haematoma or false lumen. CT scan and MRI confir med the diagnosis. Because of t he associated injuries, surgery was delayed. Conservative management w as successful and the patient was discharged without aortic surgery. A follow up TEE, 3 and 6 months later showed a thrombosis of the intima l tear without false aneurysm. This case underlines the value of TEE i n patients with thoracic trauma, for surgical or nonsurgical managemen t of aortic rupture and for the follow up of the patients.