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THE JOURNAL OF CARDIOVASCULAR SURGERY
A Journal on Cardiac, Vascular and Thoracic Surgery
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632
CASE REPORTS THORACIC PAPERS
The Journal of Cardiovascular Surgery 1998 April;39(2):249-50
Rupture of the azygos vein in blunt chest trauma
Cagini L.*, Boaron M.**, Corneli G.**, Gambale G., Cirocchi R.*, Giustozzi G.*, Spangaro M.
From the *Department of Surgery and Surgical Emergencies, University of Perugia, Italy
**Division of Thoracic Surgery, Ospedale Maggiore, Bologna, Italy
Division of General Surgery, Bologna, Italy
Isolated traumatic laceration of the azygos vein is a rare condition that is mainly associated with violent deceleration traumas. Diagnosis is crucially based on radiologic evidence of massive right pleural bleeding and hemorrhagic shock. Surgical exploration needs to be early and concomitant with resuscitation, prognosis largely depending on timely intervention. Median sternotomy provides the most advantageous access because it can be quickly performed and allows for surgical exploration.