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Ann Thorac Surg 2008;86:e5-e6. doi:10.1016/j.athoracsur.2008.06.083
© 2008 The Society of Thoracic Surgeons
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Henry W. Louie
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Case Reports

Patent Ductus Arteriosus Masquerading as Aortic Transection in a Trauma Victim

William Travis Lau, MD*, David K.M. Wong, MD, Henry W. Louie, MD

Department of Surgery, University of Hawaii, Honolulu, Hawaii

Accepted for publication June 27, 2008.

* Address correspondence to Dr Lau, Department of Surgery, University of Hawaii, 1356 Lusitana St, 6th Floor, Honolulu, 96813, Hawaii (Email: wlau01{at}hotmail.com).

A high-speed motorcycle crash is a risk factor for thoracic aortic injury due to the rapid deceleration mechanism. We present a previously healthy 44-year-old man who was involved in a motorcycle accident. Initial spiral computed tomography indicated an intimal flap, which was visualized with evidence of mediastinal hemorrhage. The man was taken emergently to the operating room where a patent ductus arteriosus was seen at the location of the suspected aortic injury. No true aortic injury was appreciated.






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