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  • Title: Ascending aorta, aortic arch and supra-aortic vessels rupture in blunt thoracic trauma.
    Author: Boulate D, Fabre D, Langer NB, Fadel E.
    Journal: Interact Cardiovasc Thorac Surg; 2018 Aug 01; 27(2):304-306. PubMed ID: 29514278.
    Abstract:
    Surgical strategy and long-term outcomes of patients with rupture of the ascending aorta, aortic arch and supra-aortic vessels following blunt thoracic trauma have been rarely reported. We reviewed our institutional experience between 1995 and 2016. We identified 2 patients with an innominate artery ruptures, 2 with an aortic arch ruptures and 1 with an ascending aorta rupture; all were induced by the posterior displacement of the anterior chest wall. All patients underwent open surgical repair. Cardiopulmonary bypass with antegrade cerebral perfusion was required in 2 cases. All patients were alive at the end of the follow-up (median 18 months; from 3 to 180 months) including 1 patient with cortical blindness.
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