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- Traumatic carotid artery dissection without head or neck trauma: a case report following thoracoabdominal crush injury
- Shin-Ah Son
- Received August 28, 2025 Accepted November 21, 2025 Published online August 19, 2026
- DOI: https://doi.org/10.20408/jti.2025.0207 [Epub ahead of print]
- 386 View
- 18 Download
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Abstract
PDF - A previously healthy 41-year-old woman was admitted after being crushed beneath a forklift from the chest to the lower extremities, presenting with traumatic asphyxia. Initial evaluation revealed no apparent trauma to the head or neck, but multiple fractures from the chest to the lower extremities were diagnosed. The patient underwent emergent thoracoabdominal surgery with subsequent clinical improvement. However, 4 days after the accident, anisocoria developed, and neuroimaging confirmed ischemic stroke due to traumatic carotid artery dissection. Anticoagulation and lipid-lowering therapy were initiated, and the patient successfully underwent the remaining orthopedic procedures without hemorrhagic complications. This report emphasizes that traumatic carotid artery dissection may occur even in the absence of concomitant cervical or cranial injuries, highlighting the importance of considering vascular injury in patients with severe trauma regardless of the mechanism of injury.
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Summary
- Endovascular Salvage for Traumatic Midthoracic Aortic Rupture with Left Diaphragmatic Injury
- Shin-Ah Son, Tak-Hyuk Oh, Gun-Jik Kim, Deok Heon Lee, Kyoung Hoon Lim
- J Trauma Inj. 2018;31(2):66-71. Published online August 31, 2018
- DOI: https://doi.org/10.20408/jti.2018.31.2.66
- 6,349 View
- 33 Download
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Abstract
PDF
Patients with traumatic aortic rupture rarely reach the hospital alive. Even among those who arrive at the hospital alive, traumatic aortic rupture after high-speed motor vehicle accidents leads to a high in-hospital mortality rate and is associated with other major injuries. Here, we report a rare case of descending midthoracic aortic rupture with blunt diaphragmatic rupture. Successful management with emergency laparotomy after an immediate endovascular procedure resulted in a favorable prognosis in this case.
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Summary
- Delayed Ascending Aorta Replacement in Blunt Chest Trauma with Aortic Injury
- Shin-Ah Son, Gun-Jik Kim, Young Woo Do, Tak-Hyuk Oh
- J Trauma Inj. 2018;31(1):24-28. Published online April 30, 2018
- DOI: https://doi.org/10.20408/jti.2018.31.1.24
- 6,981 View
- 72 Download
- 1 Citations
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Abstract
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Ascending aortic injury after blunt chest trauma is an emergency condition that requires urgent diagnosis and treatment. The authors report the case of a patient with traumatic ascending aortic injury who received ascending aorta replacement under cardiopulmonary bypass after failure of primary repair.
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Summary
Citations
Citations to this article as recorded by
- Traumatic Aortic Dissection (Stanford Type A, DeBakey Type II) Caused by Blunt Chest Trauma
Shuntaro Ito, Kenji Mogi, Manabu Sakurai, Kengo Tani, Masafumi Hashimoto, Yoshiharu Takahara
Japanese Journal of Cardiovascular Surgery.2021; 50(1): 65. CrossRef
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