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3005 北関東医学会 >
330501 The Kitakanto medical journal >
Vol.62 (2012) >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10087/7316

Title: Traumatic Thoracic Aortic Dissection with Oral Administration of Antiplatelet Drugs in Multiple Trauma:A Case Report
Authors: Ogino, Takashi
Ogawa, Tetsushi
Ishikawa, Tetsuya
Tanaka, Toshiyuki
Aiba, Masaaki
Sakamoto, Ichiro
Shimizu, Hisashi
Toya, Hiroyuki
Yamazaki, Hotaka
Motegi, Yoko
Sakata, Kazuhiro
Yamagishi, Toshiharu
Sugano, Masayuki
Atsumi, Jun
Masubuchi, Hiroaki
Hagiwara, Shuichi
Ohshima, Kiyohiro
Iino, Yuichi
Takahashi, Toru
Takeyoshi, Izumi
Keywords: traumatic aortic dissection
antiplatelet drug
multiple trauma
Issue Date: 1-Nov-2012
Publisher: 北関東医学会
Citation: The Kitakanto medical journal. 2012, 62(4), p.411-414
Abstract: A 62-year-old man was transported to the emergency medical center because of blunt chest trauma combined with multiple trauma after a car accident.He complained of severe back pain.Contrast-enhanced computed tomography revealed left hemopneumothorax with multiple left rib fractures,a scapular fracture,lung contusion,liver injury,right renal injury,and acute aortic dissection.Although open surgical repair and endovascular stent grafting were considered,primarily nonoperative manage-ment of the thoracic aortic injury under blood pressure control was selected because of the multiple trauma,type B aortic dissection,and oral administration of two antiplatelet drugs.The patient’s hemodynamic and respiratory conditions remained stable in the intensive care unit,and the aortic dissection improved.We herein report a rare case of blunt thoracic aortic injury with oral administra-tion of antiplatelet drugs resulting in multiple trauma and acute aortic dissection treated nonoperatively.
URI: http://hdl.handle.net/10087/7316
ISSN: 1343-2826
Appears in Collections:Vol.62 (2012)

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