Concomitant aortic valve and internal mammary artery injuries in blunt chest trauma: report of a case.

Chun Chieh Yeh, Chi Hsun Hsieh, Yu Chun Wang, Ping Kuei Chung, Ray Jade Chen

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

We report a case of concomitant injury to the aortic valve and internal mammary artery (IMA) from nonpenetrating chest trauma. To our knowledge, this is the first such case to be reported. Transcatheter arterial embolization (TAE) following diagnostic angiography offers an effective and minimally invasive treatment for traumatic IMA injuries. Because there might be an asymptomatic interval after traumatic aortic valve injuries, serial physical examinations and repeated echocardiography should be mandatory for patients with de novo heart failure after blunt chest trauma. Transesophageal echocardiography can provide a clearer image of cardiac injuries than transthoracic echocardiography, particularly if there is extensive anterior mediastinal hematoma resulting from IMA trauma.

Original languageEnglish
Pages (from-to)790-794
Number of pages5
JournalSurgery Today
Volume39
Issue number9
Publication statusPublished - 2009
Externally publishedYes

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ASJC Scopus subject areas

  • Surgery

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