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Hossein Javadpour
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David A. Luke
Vincent K. Young
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Ann Thorac Surg 2002;73:951-953
© 2002 The Society of Thoracic Surgeons

Case report

Traumatic aortic transection: evidence for the osseous pinch mechanism

Hossein Javadpour, FRCSIa, John J. O’Toole, FRCSc, J. Niall McEniff, FRCRb, David A. Luke, FRCSIc, Vincent K. Young, FRCS (CTh)*a

a Department of Cardiothoracic Surgery, St. James’s Hospital, Dublin, Ireland
b Department of Radiology, St. James’s Hospital, Dublin, Ireland
c Department of Cardiothoracic Surgery, Mater Misericordiae Hospital, Dublin, Ireland

Accepted for publication July 30, 2001.

* Address reprint requests to Dr Young, Department of Cardiothoracic Surgery, CREST Unit, St. James’s Hospital, James’s St, Dublin, Ireland
e-mail: vyoung{at}stjames.ie

Acute traumatic transection of the thoracic aorta is most commonly seen in vehicular trauma and is generally accepted to be due to differential deceleration. A second mechanism is proposed for this injury and that is the osseous pinch mechanism. We report a case where aortic transection occurred due to a crush injury and supports the latter mechanism.




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