TRAVMATİK AORT DİSEKSİYONU: OLGU SUNUMU

Traumatic dissection of aorta is a rare, high mortality clinical condition. In this case presentation, traumatic dissection aorta case diagnosed by lung x-ray due to suspect from tracheal shift, whose thoracic examination was normal and who was presented due to traffic accident was discussed
Anahtar Kelimeler:

Travma, Diseksiyon, Acil Servis

TRAUMATIC DISSECTION OF AORTA: A CASE REPORT

Mortalitesi oldukça yüksek olan travmatik aort diseksiyonu nadir görülen bir klinik durumdur. Bu vaka sunumunda, trafik kazası ile gelen, toraks fizik muayenesi normal olup sadece akciğer grafisindeki trakea şiftinden şüphelenerek tanı koyduğumuz travmatik aort diseksiyonu olgusu tartışılmıştır

___

  • Robbins RC, McManus RP, Mitchell RS, Latter DR, Moon MR, Olinger GN, et al: Manangment of patients with intramural hema- toma of the Thoracic aorta. Circulation, suppl. II, 1993;88:1.
  • Klima T, Spjut HJ, Coelho A, Gray AG, Wukasch DC, Reul GJ Jr, Cooley DA.The morphology of ascending aortic aneurysms. Hum Pathol 1983;14:810.
  • DeBakey ME, Beall AC Jr, Cooley DA, Crawford ES, Morris GC Jr, Garrett HE. et al: Dissecting aneursym of the aorta . Surg Clin North Am 1966;46:1045.
  • Hirst AE, Johns VJ, Kime SW: Dissecting aneursym of the aorta: a rewiew of 505 cases. Medicine 1958;37:217.
  • Levinson DC, Edmeades DT, Griffth GC: Dissecting aneursym of the aorta: its clinical, electrocardiographic and labrotary features. A report of fifty-eight autopside cases. Circulation 1950;1:360.
  • DeBakey ME, McCollum CH, Crawford ES, Morris GC Jr, Howell J, Noon GP. et al: Dissecting aneursym of the aorta: twenty-year follow-up of five hundred twenty-seven patient treated surgically. Surgery 1982;92:1118.
  • Nakashima Y, Kurzumi T, Sueshşi K, Tanaka K. Dissecting aneu- rsym: a clinicopathologic and histopathologic syudy of 111 autop- sied cases. Hum Pathol 1990;21:291-6.
  • Özsöyler İ, Yafla H, Lafçı B, Yılık L, Gürbüz A. Travmatik Akut Torasik Aort Diseksiyonunda Endovasküler Tedavi: Olgu Sunumu Olgu sunumu. Turkish J Thorac Cardiovasc Surg 2007;15:158-161.
  • Brown J, GroverFL, Trauma to the Heart. Chest Surg Clin Am 1997;7:325-41.
  • Akköse Ş, Bulut M, Çıkrıklar Hİ, Armağan E, Ateş M. Travmatik Aort Yırtığı: Olgu Sunumu. Ulus Travma Derg 2004;10:57-59.
  • Bowling WM, Wilson RF, Bucham TG. Thoracic Trauma. In: Tin- tinalli JE, Kelen GD, Stapczynski JS, editors. Emergency Medi- cine: A Comprehensive Study Guide. 5th ed. New York: Mc Graw- Hill; 2000 p.1675-99.
  • Dahnert WF. Radiology Review Manual. 3rd ed. Baltimore: Wil- liams & Wilkins; 1996.
  • Emedicine.com [homepage on the Internet] Bowman JG. Pneu- muthorax, tension and traumatic. (Available from: http://www. emedicine.com/EMERG/topic470.htm)
  • Lindsay JJ, Hurst JW: Clinical features and prognosis in dissecting aneursym of the aorta. Circulation 1967:35:880.
  • Glower DD, Fann JI, Speier RH, Morrison L, White WD, Smith LR. et al: Comparison of medical and surgical therapy for uncom- plicated descending aortic dissection. Circulation 1990;82:39.
  • Görür DA. Tip I Aort Diseksiyonu ve Anjiotensin önüştürücü Convert- ing Enzim (ACE) Gen Polimorfizmi. Uzmanlık Tezi. İstanbul-2006.