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“Don Juan-Fracture” as a Hint to Aortic Isthmus Rupture
Joint Authors
Suksompong, Sirilak
von Bormann, Benno
Source
Case Reports in Emergency Medicine
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-2, 2 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-11-18
Country of Publication
Egypt
No. of Pages
2
Main Subjects
Abstract EN
We report a case of thoracic aortic rupture after blunt trauma in a 23-year-old male patient.
The initial investigation found no external injury or bleeding, only a slightly widened mediastinum and a broken left calcaneus.
Abdominal lavage was negative, biochemistry was normal, and breathing and oxygenation were not compromised.
When changing his position during diagnostics, the patient all of a sudden developed cardiac arrest and typical signs of hypovolemic shock.
An immediate sternotomy was done without any further diagnostics on suspicion of aortic isthmus injury.
A circular avulsion at the ligamentum arteriosum was found as assumed and repaired under cardiopulmonary bypass.
The patient left the hospital for rehabilitation after 12 days in adequate health status.
Biodynamics of blunt trauma after high-speed frontal impact and the relationship between calcaneus fracture, called “Don-Juan fracture,” and aortic rupture at the site of ligamentum arteriosum are discussed.
American Psychological Association (APA)
Suksompong, Sirilak& von Bormann, Benno. 2014. “Don Juan-Fracture” as a Hint to Aortic Isthmus Rupture. Case Reports in Emergency Medicine،Vol. 2014, no. 2014, pp.1-2.
https://search.emarefa.net/detail/BIM-1017028
Modern Language Association (MLA)
Suksompong, Sirilak& von Bormann, Benno. “Don Juan-Fracture” as a Hint to Aortic Isthmus Rupture. Case Reports in Emergency Medicine No. 2014 (2014), pp.1-2.
https://search.emarefa.net/detail/BIM-1017028
American Medical Association (AMA)
Suksompong, Sirilak& von Bormann, Benno. “Don Juan-Fracture” as a Hint to Aortic Isthmus Rupture. Case Reports in Emergency Medicine. 2014. Vol. 2014, no. 2014, pp.1-2.
https://search.emarefa.net/detail/BIM-1017028
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1017028