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Case Reports
Traumatic arterial thoracic outlet syndrome after multiple rib fractures not including the first rib in Korea: a case report
Seock Yeol Lee
J Trauma Inj. 2024;37(2):158-160.   Published online June 5, 2024
DOI: https://doi.org/10.20408/jti.2023.0081
  • 434 View
  • 15 Download
AbstractAbstract PDF
Arterial thoracic outlet syndrome (TOS) resulting from thoracic trauma is an exceedingly rare condition, typically caused by a fracture of the first rib or clavicle. In this report, the author presents a case of traumatic arterial TOS precipitated by multiple left rib fractures, notably excluding the first rib, following a fall from a 2-m high stepladder. The patient was treated successfully with first rib resection via a transaxillary approach, and the postoperative course was uneventful. The literature includes no known reports of traumatic arterial TOS in patients with multiple fractures that spare the first rib, making this the first documented case of its kind. In this instance, the patient sustained fractures to the fourth and fifth ribs. The TOS was likely not a direct result of the multiple rib fractures, which were located some distance from the thoracic outlet. Rather, it is hypothesized that the trauma from these fractures caused a soft tissue injury within the thoracic outlet, which ultimately led to the development of TOS.
Summary
Successful surgical intervention in traumatic carotid artery thrombosis after a motor vehicle accident: a case report
Görkem Yiğit
J Trauma Inj. 2023;36(1):49-52.   Published online June 29, 2022
DOI: https://doi.org/10.20408/jti.2021.0095
  • 2,122 View
  • 67 Download
AbstractAbstract PDF
Blunt carotid artery injury can lead to impaired brain perfusion due to ischemic stroke and thromboembolic events. To reduce the risk of potential neurological complications, it is critical to determine the diagnosis and management protocol as quickly as possible after a detailed clinical examination. This report presents successful surgical treatment of a young male patient who developed a traumatic left common carotid artery thrombosis after a motor vehicle accident.
Summary
Extra-Pericardial Tamponade due to Internal Thoracic Artery Rupture after Blunt Trauma: A Case Report
Dongsub Noh, Sung Wook Chang, Dae Sung Ma
J Trauma Inj. 2021;34(3):183-186.   Published online September 30, 2021
DOI: https://doi.org/10.20408/jti.2021.0045
  • 3,367 View
  • 109 Download
  • 1 Citations
AbstractAbstract PDF

Cardiac tamponade is an acute life-threatening condition that predominantly involves the intra-pericardial space; however, an expanding mediastinal hematoma can also sometimes cause cardiac tamponade. Here we describe the case of a 45-year-old male driver in whom a traffic accident resulted in rupture of the left internal thoracic artery (ITA), extra-pericardial hematoma, and sternal fracture. After resuscitation, he was scheduled to undergo angio-embolization to repair the ruptured left ITA, but he suddenly developed cardiac tamponade that required a decompressive sternotomy. Nevertheless, the patient had an uncomplicated recovery, and this case suggests that extra-pericardial cardiac tamponade should be considered as a possible consequence of retro-sternal hematoma due to traumatic ITA rupture.

Summary

Citations

Citations to this article as recorded by  
  • Traumatic Pseudoaneurysms of the Internal Mammary Artery: Two Cases and Percutaneous Intervention
    Kayla A. Aikins, Zoé N. Anderson, Timothy M. Koci
    Diagnostics.2023; 14(1): 63.     CrossRef

J Trauma Inj : Journal of Trauma and Injury