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CURRENT ISSUETHE 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
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The Journal of Cardiovascular Surgery 2002 October;43(5):747-9

THORACIC SECTION 

 CASE REPORTS

Simultaneous surgical treatment of chronic post-traumatic aneurysm of the thoracic aorta, diaphragmatic hernia and giant emphysema bulla

Luciani N., Lapenna E., De Bonis M., Pirronti T., Possati G. F.

Depart­ment of Car­diac Sur­gery «Pol­i­clinico A. Gem­elli» Uni­ver­sity Hos­pital Cath­olic Uni­ver­sity of The ­Sacred ­Heart, ­Rome, ­Italy

Tho­raco-abdom­inal ­blunt ­trauma can ­lead to mul­tiple inju­ries of sev­eral ­organs. We ­report a ­case of a ­patient in ­whom, 10 ­years ­after a ­trauma, a ­chest X-ray ­showed vis­ceral her­ni­a­tion ­into the ­left ­thorax. ­Angio com­puted tom­o­graphic ­scan (CTS) and mag­netic res­o­nance ­imaging (MRI) con­firmed ­these ­lesions and ­also ­showed a sac­cular tho­racic ­aortic aneu­rysm. ­During the sur­gical pro­ce­dure a ­giant ­post-trau­matic emphy­sema ­bulla of the ­left ­lower pul­mo­nary ­lobe was dis­cov­ered and ­repaired. In the pres­ence of dia­phrag­matic inju­ries, CTS and MRI are man­da­tory for ­excluding ­other ­organ involve­ment, and ­during the sur­gical pro­ce­dure, ­careful inspec­tion of ­left ­thorax and ­abdomen ­should ­always be ­done to ­repair ­other pos­sible inju­ries not ­seen ­before.

language: English


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