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Bernardo A. Sandoval
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Ann Thorac Surg 2005;80:710-712
© 2005 The Society of Thoracic Surgeons

Case report

Traumatic Rupture of a Descending Thoracic Aortic Homograft

Matthias Peltz, MD, Bernardo A. Sandoval, MD, Michael E. Jessen, MD *

Department of Cardiovascular and Thoracic Surgery, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas

Accepted for publication February 10, 2004.

* Address reprint requests to Dr Jessen, Department of Cardiovascular and Thoracic Surgery, University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Blvd, Dallas, TX 75390-8879 (Email: michael.jessen{at}utsouthwestern.edu).

My colleagues and I report an unusual case of traumatic aortic injury in an 18-year-old woman who had undergone multiple prior surgical procedures for repair of a type B interrupted aortic arch. Her most recent procedure included replacement of the proximal descending thoracic aorta with a 19-mm homograft at age 11 years. Seven years later, she was involved in a motor vehicle collision after a syncopal episode. Imaging studies revealed rupture of the body of the aortic homograft with formation of a pseudoaneurysm. The injury was successfully repaired with a Dacron graft by using hypothermic circulatory arrest.






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