Abstract
The association of a cardiac and a thoracic vascular lesion following blunt trauma seems real based on our experience and other published reports. Over the last 4 years, we have operated upon 3 patients with this association. The cardiac lesions included severe myocardial contusion (documented by electrocardiographic and enzymatic changes), a tear of the aortic valve, and occlusion of a coronary artery. The vascular lesions consisted in rupture of the aortic isthmus in 2 patients and traumatic pseudoaneurysm of the innominate artery. This association justifies a detailed cardiovascular evaluation in any case of severe cardiac or thoracic vascular lesion.
MeSH terms
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Accidents
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Accidents, Aviation
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Accidents, Traffic
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Adult
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Aged
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Aneurysm, False / diagnostic imaging
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Aneurysm, False / etiology*
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Aneurysm, False / surgery
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Aorta, Thoracic / injuries
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Aorta, Thoracic / surgery
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Aortic Valve / diagnostic imaging
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Aortic Valve / injuries*
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Aortic Valve / surgery
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Aortic Valve Insufficiency / diagnostic imaging
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Aortic Valve Insufficiency / etiology*
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Aortic Valve Insufficiency / surgery
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Brachiocephalic Trunk / diagnostic imaging
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Brachiocephalic Trunk / injuries*
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Brachiocephalic Trunk / surgery
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Coronary Disease / etiology*
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Coronary Disease / surgery
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Female
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Humans
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Male
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Radiography
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Thoracic Injuries / complications*
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Wounds, Nonpenetrating