Ascending Aortic Arch Injury

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Dr. Brohi:   Did you receive my question about receiving electronic copies 
of the CT of the ascending aortic blunt injury?

Mo


>From: "Karim Brohi" <karim at trauma.org>
>Reply-To: "Trauma &amp; Critical Care mailing list" 
><trauma-list at trauma.org>
>To: <trauma-list at trauma.org>
>Subject: Ascending Aortic Arch Injury
>Date: Mon, 8 Jan 2007 22:10:33 -0000
>
>Dear All
>
>36yo male motocycle injury admitted 36 hours ago.
>Haemodynamically normal.
>
>Injury complex:
>---------------
>GCS15, No head injury
>Fracture C7 through foramen transversarium (stable)
>Bilateral first rib fractures & multiple left sided fractures.
>Bilateral small haemothoraces and left lung contusion.
>Open fracture left femur - externally fixated at present.
>
>Initial CT showed some upper mediastinal haematoma, thought initially to be
>related to the first rib fractures.
>Repeat CT today shows dissection flap in ascending aorta.  Starts above 
>left
>coronary.  No extension into neck vasculature (yet).
>	Not visible on initial CT.
>
>BP = 160 systolic -> controlled with labetalol.
>
>Now what?
>Conservative management?
>Stent?
>Open repair? Technique?
>
>Karim
>
>--
>trauma-list : TRAUMA.ORG
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