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Case Reports
. 2020 Jan 23:35:17.
doi: 10.11604/pamj.2020.35.17.15777. eCollection 2020.

[Rupture of the descending thoracic aorta following sudden traumatic deceleration injury]

[Article in French]
Soufiane Badsi  1 , Abderrahim El Kaouini  1 , Soufiane Diyas  1 , Brahim Housni  1
Affiliations
Case Reports

[Rupture of the descending thoracic aorta following sudden traumatic deceleration injury]

[Article in French]
Soufiane Badsi et al. Pan Afr Med J. .

Abstract
in English, French

Acute post-traumatic rupture of the thoracic aorta is the second cause of road traffic deaths; 80% of patients die at the scene of the accident. The involvement of its descending portion outside the isthmus is rare and it is estimated to be less than 3%. We report the case of a 60-year old man, victim of road traffic accidents (RTA) whose mechanism was: the motorcyclist was struck by a car; the points of impact included the right upper limb and the chest. This RTA caused a fracture in both bones of the forearm and a rupture of the descending thoracic aorta (ATD). Treatment was based in the first time on the suture of the aortic rupture complemented by synthetic circumferential prosthesis implantation with aorto-aortic anastomosis and in a second time on the application of a screwed plate in the forearm. The outcome was good and the patient was referred to the Department of vascular surgery.

La rupture aigue post traumatique de l’aorte thoracique constitue la seconde cause de mortalité chez les accidentés de la route; 80% des patients décèdent sur les lieux de l’accident. L’atteinte de sa portion descendante en dehors de l’isthme est rare et évaluée à moins de 3%. Nous rapportons le cas d’un homme de 60 ans, victime d’un accident de la voie publique (AVP) dont le mécanisme était un motocycliste heurté par une voiture avec points d’impacts au niveau du membre supérieur droit et thoracique. Cet AVP a occasionné une fracture des deux os de l’avant bras et une rupture de l’aorte thoracique descendante (ATD). Le traitement a consisté en premier temps à une suture de la brèche aortique complétée par la mise en place d’une prothèse synthétique circonférentielle avec anastomose aorto-aortique et en 2ème temps à la mise en place d’une plaque vissée de l’avant bras. L’évolution était bonne et le malade fut transféré au Service de Chirurgie Vasculaire.

Keywords: Road traffic accident; descending aorta; post traumatic rupture; surgical treatment.

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Conflict of interest statement

Les auteurs ne déclarent aucun conflit d’intérêts.

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