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Open Access Case Report

Right procedure, wrong organ, an unusual case report of aortic trauma in a multiple injured patient

Aristotelis P Mitsos1*, Jonathan Chantler2, Evangelos Konstantinou3, Theofanis Fotis4, Ekaterini Lambrinou5, Ramon Uberoi6, Richard Stacey7 and James V Byrne1

Author Affiliations

1 Department of Neuroradiology, West Wing, John Radcliffe Hospital, Headley Way, Headington, Oxford, OX3 9DU, UK

2 Department of Anaesthesiology, West Wing, John Radcliffe Hospital, Headley Way, Headington, Oxford, OX3 9DU, UK

3 Evgenidion University Hospital Department of Nurse Anaesthesiology, National and Kapodistrian University of Athens, Faculty of Nursing, Athens, Greece

4 Vascular Surgery Department, 251 Hellenic Air Force Hospital

5 Nursing Department, School of Health Sciences, Cyprus University of Technology

6 Department of Cardiology and Neurosurgery West Wing, John Radcliffe Hospital, Headley Way, Headington, Oxford, OX3 9DU, UK

7 Department of Cardiology and Neurosurgery West Wing, John Radcliffe Hospital, Headley Way, Headington, Oxford, OX3 9DU, UK

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Cases Journal 2009, 2:6795  doi:10.4076/1757-1626-2-6795

Published: 5 June 2009

Abstract

Blunt traumatic injury and acute dissection of thoracic aorta is increasing in incidence in seriously multi-trauma patients, remaining highly lethal. Early identification and repair is the key to a successful outcome. We report an unusual case of a 62-year-old man involved in a motor vehicle accident after subarachnoid hemorrhage due to an intracranial artery aneurysm rupture. The post-traumatic aorta dissection was overlooked during the initial evaluation and was found incidentally later during an attempt for endovascular treatment of the intracranial aneurysm. The pitfalls in the diagnostic approach of this patient are discussed and the paramount importance of the correct interpretation of all the available clinical and investigational findings in multiple injured patients are highlighted.