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Ann Thorac Surg 2009;87:301-303. doi:10.1016/j.athoracsur.2008.05.075
© 2009 The Society of Thoracic Surgeons
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Case Reports

Late Aortic Injury: A Rare Complication of a Posterior Rib Fracture

Vito D. Bruno, MD*, Timothy J.P. Batchelor, FRCS(CTh)

Department of Thoracic Surgery, Bristol Royal Infirmary, Bristol, United Kingdom

Accepted for publication May 27, 2008.

* Address correspondence to Dr Bruno, Department of Thoracic Surgery, Bristol Royal Infirmary, Upper Maudlin St, Bristol, BS2 8HW, United Kingdom (Email: vitodomenicobruno{at}gmail.com).

Traumatic rib fractures are common and are often associated with a hemothorax or pneumothorax. Rib fractures can also be a marker of severe trauma, and aortic transection is a well-described cause of death, particularly after a deceleration injury. However, direct aortic laceration by a fractured rib segment is extremely rare. We describe the late presentation of such a case and discuss the possible mechanism of injury.




This article has been cited by other articles:


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 Ann. Thorac. Surg.Home page
E. W.K. Peng and P. K. Sarkar
Mechanism of delayed aortic injury in left-sided rib fractures.
Ann. Thorac. Surg., November 1, 2009; 88(5): 1726 - 1726.
[Full Text] [PDF]

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 Ann. Thorac. Surg.Home page
V. D. Bruno and T. J.P. Batchelor
Reply.
Ann. Thorac. Surg., November 1, 2009; 88(5): 1726 - 1727.
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