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Ann Vasc Surg. 2014 May;28(4):1035.e11-3. doi: 10.1016/j.avsg.2013.06.035. Epub 2013 Oct 27.

Successful management of threatened aortic rupture late after rib fracture caused by blunt chest trauma.

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  • 1Division of Cardiovascular Surgery, Awaji Medical Center, Hyogo, Japan. Electronic address:
  • 2Division of Cardiovascular Surgery, Awaji Medical Center, Hyogo, Japan.


A 62-year-old man was crushed in a car accident and diagnosed with a fractured left ninth rib, pulmonary and heart contusion, hemopneumothorax, and descending aortic injury based on a computed tomography scan. He underwent chest tube drainage and was intubated for mechanical ventilation because a bone fragment of the ninth rib threatened to penetrate the descending aorta. On the second posttrauma day, computed tomography showed the bone fragment of the ninth rib approaching the descending aorta. He underwent graft replacement of the injured portion of the descending thoracic aorta, and we removed the fractured left ninth rib.

Copyright © 2014 Elsevier Inc. All rights reserved.

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