We report a traumatic disruption of the ascending aorta in an 8-year-old bo
y who had undergone orthotopic cardiac transplant at 6.5 years of age for c
ongenital heart block and dilated cardiomyopathy. At presentation his aorti
c injury was not immediately recognized, but persistence in identifying and
confirming a suspicious aortic rupture was lifesaving. (C) 2001 by The Soc
iety of Thoracic Surgeons.