Surgical treatment for rupture of the aortic isthmus in a pediatric patient with multiple blunt injuries

• Main Authors: Tran Quyet Tien (Author), Ho Tat Bang (Author), Doan Van Phung (Author), Bui Quoc Thang (Author), Le Thanh Khanh Van (Author)
• Format: Book
• Published: Elsevier, 2021-09-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 2213-5766; 10.1016/j.epsc.2021.101976
• Keywords: Blunt thoracic trauma; Rupture; Pediatric; Pediatrics; RJ1-570; Surgery; RD1-811
• Source: Journal of Pediatric Surgery Case Reports, Vol 72, Iss , Pp 101976- (2021)

Although traumatic thoracic aortic injury is a rare condition in children, it is life-threatening with a high mortality rate: approximately 80%-85% of patients die before reaching the hospital and of those who reach the hospital, 50% are not saved due to the severity of the injury. Early diagnosis of thoracic aortic injuries is critical to saving the patient; however, this is difficult because hospitalized patients often present with multiple injuries. Here we present the case of a 14-year-old male patient with a ruptured aortic isthmus due to multiple blunt injuries who was successfully treated by surgical open repair of the thoracic aorta via median sternotomy with the support of cardiopulmonary bypass.