Perforation of the Aorta by a Rib Edge: An Unusual Complication After Chest Wall Resection

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• 作者：Majdi El Husseiny<sup>1sup><sup> ; sup><sup>majdi.elhusseiny@gmail.comsup> ; Lamisse Karam<sup>1sup> ; Fadia Haddad<sup>2sup> ; Georges Tabet<sup>1sup>
• 刊名：Annals of Vascular Surgery
• 出版年：2012
• 出版时间：May, 2012
• 年：2012
• 卷：26
• 期：4
• 页码：574.e15-574.e17
• 全文大小：393 K

文摘

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.