-
Something wrong with this record ?
Tension Hemothorax in Aortic Rupture: A Case Report
J. Pometlová, R. Madeja, J. Demel, R. Ječmínková, V. Procházka, M. Kitka, L. Pleva
Language English Country Switzerland
Document type Case Reports
Grant support
CZ.02.1.01/0.0/0.0/17_049/0008441
European Regional Development Fund
NLK
Directory of Open Access Journals
from 2007
PubMed Central
from 2018
Europe PubMed Central
from 2018
ProQuest Central
from 2018-01-01
Open Access Digital Library
from 2014-01-01
Health & Medicine (ProQuest)
from 2018-01-01
ROAD: Directory of Open Access Scholarly Resources
from 2007
- MeSH
- Hemothorax * diagnostic imaging etiology surgery MeSH
- Humans MeSH
- Tomography, X-Ray Computed MeSH
- Aortic Rupture * complications diagnostic imaging surgery MeSH
- Check Tag
- Humans MeSH
- Publication type
- Case Reports MeSH
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.
References provided by Crossref.org
- 000
- 00000naa a2200000 a 4500
- 001
- bmc21025282
- 003
- CZ-PrNML
- 005
- 20230516150059.0
- 007
- ta
- 008
- 211013s2021 sz f 000 0|eng||
- 009
- AR
- 024 7_
- $a 10.3390/medicina57080790 $2 doi
- 035 __
- $a (PubMed)34440997
- 040 __
- $a ABA008 $b cze $d ABA008 $e AACR2
- 041 0_
- $a eng
- 044 __
- $a sz
- 100 1_
- $a Pometlová, Jana $u Department of Trauma Surgery, University Hospital Ostrava, 17. listopadu 1790, 708 52 Ostrava, Czech Republic $u Institute of Medicine of Disasters, Faculty of Medicine, University of Ostrava, Syllabova 19, 703 00 Ostrava, Czech Republic $7 xx0301648
- 245 10
- $a Tension Hemothorax in Aortic Rupture: A Case Report / $c J. Pometlová, R. Madeja, J. Demel, R. Ječmínková, V. Procházka, M. Kitka, L. Pleva
- 520 9_
- $a 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.
- 650 12
- $a ruptura aorty $x komplikace $x diagnostické zobrazování $x chirurgie $7 D001019
- 650 12
- $a hemotorax $x diagnostické zobrazování $x etiologie $x chirurgie $7 D006491
- 650 _2
- $a lidé $7 D006801
- 650 _2
- $a počítačová rentgenová tomografie $7 D014057
- 655 _2
- $a kazuistiky $7 D002363
- 700 1_
- $a Madeja, Roman $u Department of Trauma Surgery, University Hospital Ostrava, 17. listopadu 1790, 708 52 Ostrava, Czech Republic $u Institute of Medicine of Disasters, Faculty of Medicine, University of Ostrava, Syllabova 19, 703 00 Ostrava, Czech Republic
- 700 1_
- $a Demel, Jiří $u Department of Trauma Surgery, University Hospital Ostrava, 17. listopadu 1790, 708 52 Ostrava, Czech Republic $u Institute of Medicine of Disasters, Faculty of Medicine, University of Ostrava, Syllabova 19, 703 00 Ostrava, Czech Republic
- 700 1_
- $a Ječmínková, Renata $u Accident&Emergency Department, University Hospital Ostrava, 17. listopadu 1790, 708 52 Ostrava, Czech Republic $u Department of Intensive Medicine, Emergency Medicine and Forensic Studies, Faculty of Medicine, University of Ostrava, Syllabova 19, 703 00 Ostrava, Czech Republic
- 700 1_
- $a Procházka, Václav $u Department of Radiology, University Hospital Ostrava, 17. listopadu 1790, 708 52 Ostrava, Czech Republic
- 700 1_
- $a Kitka, Miroslav $u Clinic of Trauma Surgery, Pavel Jozef Safarik University and Louis Pasteur University Hospital, 040 11 Košice, Czech Republic
- 700 1_
- $a Pleva, Leopold $u Department of Trauma Surgery, University Hospital Ostrava, 17. listopadu 1790, 708 52 Ostrava, Czech Republic $u Institute of Medicine of Disasters, Faculty of Medicine, University of Ostrava, Syllabova 19, 703 00 Ostrava, Czech Republic
- 773 0_
- $w MED00180386 $t Medicina $x 1648-9144 $g Roč. 57, č. 8 (2021)
- 856 41
- $u https://pubmed.ncbi.nlm.nih.gov/34440997 $y Pubmed
- 910 __
- $a ABA008 $b sig $c sign $y p $z 0
- 990 __
- $a 20211013 $b ABA008
- 991 __
- $a 20230516150055 $b ABA008
- 999 __
- $a ok $b bmc $g 1714369 $s 1145789
- BAS __
- $a 3
- BAS __
- $a PreBMC
- BMC __
- $a 2021 $b 57 $c 8 $e 20210731 $i 1648-9144 $m Medicina $n Medicina (Kaunas) $x MED00180386
- GRA __
- $a CZ.02.1.01/0.0/0.0/17_049/0008441 $p European Regional Development Fund
- LZP __
- $a Pubmed-20211013
