ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Charalambos Zisis
Ion Bellenis
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Zisis, C.
Right arrow Articles by Bellenis, I.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Zisis, C.
Right arrow Articles by Bellenis, I.
Related Collections
Right arrow Diaphragm

Ann Thorac Surg 2006;82:e1-e2
© 2006 The Society of Thoracic Surgeons

Case report

Right Diaphragm Rupture With Extended Traumatic Dissection of the Descending Aorta

Charalambos Zisis, MD, PhD a , * , Sokratis Fragoulis, MD a , Ioannis Kaskarelis, MD, PhD b , Panayiotis Dedeilias, MD a , Konstantinos Bolos, MD a , Ion Bellenis, MD, PhD a

a Department of Cardiothoracic Surgery, "Evangelismos" Hospital, Athens, Greece
b Department of Interventional Radiology, "Evangelismos" Hospital, Athens, Greece

Accepted for publication March 27, 2006.

* Address correspondence to Dr Zisis, 17A, Patriarchou Grigoriou str, 16674 Glyfada, Greece (Email: chzisis{at}otenet.gr).

A 45-year-old man, with severe thoracic injury from a motor accident, is reported with traumatic aortic dissection type B and projection of the liver into the thoracic cavity due to a large rupture of the right hemidiaphragm. The patient was successfully managed with endoluminal stent placement in the descending thoracic aorta, and right thoracotomy for the repair of the diaphragmatic hernia. His postoperative course was uneventful. The co-existence of aortic traumatic dissection and right diaphragmatic rupture in trauma patients has never been reported in the literature previously, to our knowledge. Furthermore, the initial x-ray examination findings advocated injury of the right hemithorax and could be misleading. The diagnostic assessment must have a high index of suspicion, whereas the surgical manipulation needs to be fast and targeted to the major thoracic injuries of the patient.






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2006 by The Society of Thoracic Surgeons.