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Background <p>Although rare, blunt traumatic aortic injury occurs in the aortic isthmus and rarely in the thoracoabdominal aorta. </p> Case presentation <p> A 56-year-old man became unconscious after falling from the third floor during a suicide attempt. Computed tomography revealed a thoraco-abdominal aortic injury (pseudo-aneurysm) and a posterior dislocation fracture at L1/L2. Thoraco-abdominal aortic graft replacement was performed 3 d after the injury, and posterior spinal fusion was performed 10 d later.</p> Conclusions <p>Thoracic endovascular aortic repair is usually performed for blunt traumatic aortic injury of the aortic isthmus; however, open surgery is required for blunt traumatic aortic injury of the thoracoabdominal aorta.</p>

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Successful open repair of blunt traumatic thoracoabdominal aortic injury with concomitant L1/L2 fracture–dislocation

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年4月28日

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  • Yuta Kanazawa,
  • Akihiro Yoshitake,
  • Shota Takaki,
  • Yuko Gatate,
  • Osamu Kinoshita,
  • Toshihisa Asakura

摘要

Background

Although rare, blunt traumatic aortic injury occurs in the aortic isthmus and rarely in the thoracoabdominal aorta.

Case presentation

A 56-year-old man became unconscious after falling from the third floor during a suicide attempt. Computed tomography revealed a thoraco-abdominal aortic injury (pseudo-aneurysm) and a posterior dislocation fracture at L1/L2. Thoraco-abdominal aortic graft replacement was performed 3 d after the injury, and posterior spinal fusion was performed 10 d later.

Conclusions

Thoracic endovascular aortic repair is usually performed for blunt traumatic aortic injury of the aortic isthmus; however, open surgery is required for blunt traumatic aortic injury of the thoracoabdominal aorta.