Skip to main content
NCBI home page
Heart logoLink to Heart
. 1997 Sep;78(3):310–312. doi: 10.1136/hrt.78.3.310

Two teenagers, traumatic aortic disruption, and transoesophageal echocardiography.

A Absalom 1, A Burns 1, F Wells 1, D Stone 1
PMCID: PMC484936  PMID: 9391296

Abstract

A report of two teenagers is presented who were passengers of the same vehicle when it was involved in a serious road traffic accident. Their vehicle was hit on the side at high speed by a second vehicle. Both teenagers sustained multiple injuries. On arrival at a district general hospital they required resuscitation, exploratory laparotomies, and postoperative intensive care. Neither had radiographic evidence to suggest any mediastinal injury, but transoesophageal echocardiography demonstrated aortic disruption in both patients. They were transferred to a regional cardiothoracic centre where their lesions were successfully repaired and both have made a full recovery.

Full text

PDF
310

Images in this article

311Image
on p.311
311Image
on p.311

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Banning A. P., Ruttley M. S., Musumeci F., Fraser A. G. Acute dissection of the thoracic aorta. BMJ. 1995 Jan 14;310(6972):72–73. doi: 10.1136/bmj.310.6972.72. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Bennett D. E., Cherry J. K. The natural history of traumatic aneurysms of the aorta. Surgery. 1967 Apr;61(4):516–523. [PubMed] [Google Scholar]
  3. Brooks S. W., Young J. C., Cmolik B., Schina M., Dianzumba S., Townsend R. N., Diamond D. L. The use of transesophageal echocardiography in the evaluation of chest trauma. J Trauma. 1992 Jun;32(6):761–768. doi: 10.1097/00005373-199206000-00015. [DOI] [PubMed] [Google Scholar]
  4. Daniel W. G., Erbel R., Kasper W., Visser C. A., Engberding R., Sutherland G. R., Grube E., Hanrath P., Maisch B., Dennig K. Safety of transesophageal echocardiography. A multicenter survey of 10,419 examinations. Circulation. 1991 Mar;83(3):817–821. doi: 10.1161/01.cir.83.3.817. [DOI] [PubMed] [Google Scholar]
  5. Gundry S. R., Burney R. E., Mackenzie J. R., Jafri S. Z., Shirazi K., Cho K. J. Traumatic pseudoaneurysms of the thoracic aorta. Anatomic and radiologic correlations. Arch Surg. 1984 Sep;119(9):1055–1060. doi: 10.1001/archsurg.1984.01390210055012. [DOI] [PubMed] [Google Scholar]
  6. PARMLEY L. F., MATTINGLY T. W., MANION W. C., JAHNKE E. J., Jr Nonpenetrating traumatic injury of the aorta. Circulation. 1958 Jun;17(6):1086–1101. doi: 10.1161/01.cir.17.6.1086. [DOI] [PubMed] [Google Scholar]
  7. Raptopoulos V., Sheiman R. G., Phillips D. A., Davidoff A., Silva W. E. Traumatic aortic tear: screening with chest CT. Radiology. 1992 Mar;182(3):667–673. doi: 10.1148/radiology.182.3.1535879. [DOI] [PubMed] [Google Scholar]
  8. Smith M. D., Cassidy J. M., Souther S., Morris E. J., Sapin P. M., Johnson S. B., Kearney P. A. Transesophageal echocardiography in the diagnosis of traumatic rupture of the aorta. N Engl J Med. 1995 Feb 9;332(6):356–362. doi: 10.1056/NEJM199502093320603. [DOI] [PubMed] [Google Scholar]
  9. Sparks M. B., Burchard K. W., Marrin C. A., Bean C. H., Nugent W. C., Jr, Plehn J. F. Transesophageal echocardiography. Preliminary results in patients with traumatic aortic rupture. Arch Surg. 1991 Jun;126(6):711–714. doi: 10.1001/archsurg.1991.01410300057007. [DOI] [PubMed] [Google Scholar]
  10. Unsworth-White M. J., Buckenham T., Treasure T. Traumatic rupture of the thoracic aorta: computed tomography may be a dangerous waste of time. Ann R Coll Surg Engl. 1994 Nov;76(6):381–383. [PMC free article] [PubMed] [Google Scholar]

Articles from Heart are provided here courtesy of BMJ Publishing Group

RESOURCES