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Asian Cardiovasc Thorac Ann 2007;15:180-181
© 2007 Asia Publishing EXchange Ltd

IMAGES IN CARDIOTHORACIC MEDICINE AND SURGERY

Atypical Traumatic Thoracic Aorta after Rib Fractures

El Hassane Kabiri, MD, Adil Arsalane, MD, Abdelfettah Zidane, MD, Fouad Atoini, MD

Department of Thoracic Surgery, Mohamed V Military University Hospital Rabat, Morocco

For reprint information contact: El Hassane Kabiri, MD Tel: 212 6181 8545 Fax: 212 3756 3432 Email: hassankabiri{at}yahoo.com, Immeuble 29 Appt 7, Résidence Mes Ellil, Secteur 23, Riad 10100, Rabat, Morocco.

In a 24-year-old woman admitted to our hospital, 2 hours after a high-speed vehicle accident, with hemodynamic stability. Chest-X-Ray radiograph (Figure 1Go) in emergency room demonstrating a multiple rib fractures, bilateral hemothorax.


Figure 1
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  		Figure 1. Chest X-Ray reveals the 9th and 10th rib fractures.

 
Thoracic computed-tomography (Figure 2Go and 3Go) showed a bilateral hemothorax, the 10th rib fractured between aorta and vertebral bodies and the 9th rib in intrapulmonary parenchyma. A bilateral chest tubes were placed. By left posterolateral thoracotomy the ribs were resected and the aorta was covered by parietal pleura (adventitial lesion only) and lung injury was sutured. The outcome was good.


Figure 2
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  		Figure 2. CT scan reveals the 9th rib intrapulmonary parenchyma with contusion.

 

Figure 3
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  		Figure 3. CT scan reveals a bilateral hemothorax and the 10th rib between aorta and vertebral bodies.

 





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