Atypical presentation of isolated traumatic ascending aortic dissection with cardiac tamponade

Blunt traumatic aortic injury is a rare but life-threatening condition, usually following high-energy trauma. We present the case of a 79-year-old man who was transferred to a hospital complaining of nausea after being struck on the chest. Computed tomography led to diagnosis of ascending aortic dis...

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Autores principales:	Shunya Ono, Retsu Tateishi, Masato Shioya, Yoshihumi Itoda, Yusuke Tsukioka, Yoshinori Nakahara, Takeyuki Kanemura
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/8fc939c99eb6430aa5171d98baf5b306
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spelling	oai:doaj.org-article:8fc939c99eb6430aa5171d98baf5b3062021-12-01T23:04:02ZAtypical presentation of isolated traumatic ascending aortic dissection with cardiac tamponade2050-313X10.1177/2050313X211060683https://doaj.org/article/8fc939c99eb6430aa5171d98baf5b3062021-11-01T00:00:00Zhttps://doi.org/10.1177/2050313X211060683https://doaj.org/toc/2050-313XBlunt traumatic aortic injury is a rare but life-threatening condition, usually following high-energy trauma. We present the case of a 79-year-old man who was transferred to a hospital complaining of nausea after being struck on the chest. Computed tomography led to diagnosis of ascending aortic dissection with cardiac tamponade. Emergent ascending aortic replacement was performed successfully and he was discharged home on postoperative day 24 without any complications. The key to early diagnosis of blunt traumatic aortic injury is careful and detailed history-taking. If trauma patients complain of unexplained symptoms, the threshold for conducting computed tomography should be lowered to avoid misdiagnosis or therapeutic delay.Shunya OnoRetsu TateishiMasato ShioyaYoshihumi ItodaYusuke TsukiokaYoshinori NakaharaTakeyuki KanemuraSAGE PublishingarticleMedicine (General)R5-920ENSAGE Open Medical Case Reports, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Shunya Ono Retsu Tateishi Masato Shioya Yoshihumi Itoda Yusuke Tsukioka Yoshinori Nakahara Takeyuki Kanemura Atypical presentation of isolated traumatic ascending aortic dissection with cardiac tamponade
description	Blunt traumatic aortic injury is a rare but life-threatening condition, usually following high-energy trauma. We present the case of a 79-year-old man who was transferred to a hospital complaining of nausea after being struck on the chest. Computed tomography led to diagnosis of ascending aortic dissection with cardiac tamponade. Emergent ascending aortic replacement was performed successfully and he was discharged home on postoperative day 24 without any complications. The key to early diagnosis of blunt traumatic aortic injury is careful and detailed history-taking. If trauma patients complain of unexplained symptoms, the threshold for conducting computed tomography should be lowered to avoid misdiagnosis or therapeutic delay.
format	article
author	Shunya Ono Retsu Tateishi Masato Shioya Yoshihumi Itoda Yusuke Tsukioka Yoshinori Nakahara Takeyuki Kanemura
author_facet	Shunya Ono Retsu Tateishi Masato Shioya Yoshihumi Itoda Yusuke Tsukioka Yoshinori Nakahara Takeyuki Kanemura
author_sort	Shunya Ono
title	Atypical presentation of isolated traumatic ascending aortic dissection with cardiac tamponade
title_short	Atypical presentation of isolated traumatic ascending aortic dissection with cardiac tamponade
title_full	Atypical presentation of isolated traumatic ascending aortic dissection with cardiac tamponade
title_fullStr	Atypical presentation of isolated traumatic ascending aortic dissection with cardiac tamponade
title_full_unstemmed	Atypical presentation of isolated traumatic ascending aortic dissection with cardiac tamponade
title_sort	atypical presentation of isolated traumatic ascending aortic dissection with cardiac tamponade
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/8fc939c99eb6430aa5171d98baf5b306
work_keys_str_mv	AT shunyaono atypicalpresentationofisolatedtraumaticascendingaorticdissectionwithcardiactamponade AT retsutateishi atypicalpresentationofisolatedtraumaticascendingaorticdissectionwithcardiactamponade AT masatoshioya atypicalpresentationofisolatedtraumaticascendingaorticdissectionwithcardiactamponade AT yoshihumiitoda atypicalpresentationofisolatedtraumaticascendingaorticdissectionwithcardiactamponade AT yusuketsukioka atypicalpresentationofisolatedtraumaticascendingaorticdissectionwithcardiactamponade AT yoshinorinakahara atypicalpresentationofisolatedtraumaticascendingaorticdissectionwithcardiactamponade AT takeyukikanemura atypicalpresentationofisolatedtraumaticascendingaorticdissectionwithcardiactamponade
_version_	1718404054485303296

Atypical presentation of isolated traumatic ascending aortic dissection with cardiac tamponade

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