Surgical treatment for rupture of the aortic isthmus in a pediatric patient with multiple blunt injuries

• Main Authors: Tran Quyet Tien, Ho Tat Bang, Doan Van Phung, Bui Quoc Thang, Le Thanh Khanh Van
• Format: Article
• Language: English
• Published: Elsevier 2021-09-01
• Series: Journal of Pediatric Surgery Case Reports
• Subjects: Blunt thoracic trauma; Rupture; Pediatric
• Online Access: http://www.sciencedirect.com/science/article/pii/S2213576621001974

Although traumatic thoracic aortic injury is a rare condition in children, it is life-threatening with a high mortality rate: approximately 80%–85% of patients die before reaching the hospital and of those who reach the hospital, 50% are not saved due to the severity of the injury. Early diagnosis of thoracic aortic injuries is critical to saving the patient; however, this is difficult because hospitalized patients often present with multiple injuries. Here we present the case of a 14-year-old male patient with a ruptured aortic isthmus due to multiple blunt injuries who was successfully treated by surgical open repair of the thoracic aorta via median sternotomy with the support of cardiopulmonary bypass.