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Perforation of the aorta by a rib edge: an unusual complication after chest wall resection.

Abstract：

:Thoracic aortic perforation in the context of a minor trauma is extremely rare. In this article, we describe a case of an 80-year-old man who presented with an aortic perforation after a fall from his height during his hospitalization. The patient had previously undergone a left superior lobectomy, a partial chest wall resection, and reconstruction for a locally invasive lung cancer. He was directly transferred to the operating room, as he presented with hemodynamic instability. A 4-mm laceration in the descending thoracic aorta was identified and repaired. The postoperative course was uneventful. This case illustrates the importance of applying a solid fixation to the rib stumps when performing a chest wall resection, irrespective of the size of the wall defect.

journal_name

Ann Vasc Surg

journal_title

Annals of vascular surgery

authors

El Husseiny M,Karam L,Haddad F,Tabet G

doi

10.1016/j.avsg.2011.10.018

subject

Has Abstract

pub_date

2012-05-01 00:00:00

pages

574.e15-7

issue

4

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(12)00046-5

journal_volume

26

pub_type

杂志文章

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