1/10. Cardiac and great vessel injuries in children after blunt trauma: an institutional review.PURPOSE: The purpose of this study was to review the incidence of cardiac and great vessel injury after blunt trauma in children. METHOD: A retrospective review of 2,744 patients with injuries from blunt mechanisms was performed. RESULTS: Eleven patients sustained cardiac injury. Four patients had clinically evident cardiac contusions. All recovered. Four patients who died from central nervous system injury were found to have cardiac contusions at autopsy. None had clinical evidence of contusion before demise. One patient had a traumatic ventricular septal defect (VSD) that required operative repair. autopsy findings showed a VSD in another patient, and a third patient was found to have a ventricular septal aneurysm that was treated medically. Two patients had great vessel injuries. One patient had a contained disruption of the superior vena cava that was managed nonoperatively. Another patient had a midthoracic periaortic hematoma without intimal disruption found at autopsy. One patient had cardiac and great vessel injuries. Discrete aneurysms of 2 coronary artery branches and the pulmonary outflow tract were identified by cardiac catheterization. This patient was treated nonoperatively. CONCLUSIONS: Cardiac and great vessel injury after blunt trauma are uncommon in children. Cardiac contusion was the most common injury encountered but had minimal clinical significance. Noncontusion cardiac injury is rare. No patient with aortic transection was identified.- - - - - - - - - - ranking = 1keywords = aneurysm (Clic here for more details about this article) |
2/10. A traumatic pseudoaneurysm of the dorsalis pedis artery: report of a case.A 63-year old woman underwent a resection of a pseudoaneurysm in the dorsalis pedis artery. The aneurysm was suggested to have formed because of a bruise on the dorsal aspect of the foot 5 years previously. This is a rare case of a traumatic aneurysm in the peripheral artery.- - - - - - - - - - ranking = 11.132553410778keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
3/10. Myocardial contusion culminating in a ruptured pseudoaneurysm of the left ventricle--a case report.Blunt chest trauma continues to be one of the most common injuries at all ages. Trauma in general is the leading cause of death in the young to middle-aged segment of our population. Blunt chest injury is said to occur in more than one third of all motor vehicle accidents. Myocardial contusion is the most frequent cardiac injury resulting from blunt chest trauma. autopsy studies indicate that cardiac trauma was directly associated with death in approximately 10% of cases suffering blunt chest injury. Aneurysm formation as a sequela of blunt cardiac trauma is a rare entity and pseudoaneurysm formation is considerably more rare. A case of myocardial contusion resulting in myocardial necrosis, rupture of the ventricle, and pseudoaneurysm formation with subsequent rupture and sudden death is presented.- - - - - - - - - - ranking = 12.159064092934keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
4/10. Perineal bruising: a sinister sign for leaking iliac aneurysms?Ruptured false iliac aneurysms carry high mortality of up to 57%. It should be suspected whenever a patient who had previous aortic aneurysm repaired presents with bizarre lower abdominal symptoms. In the literature, different presentations have been reported, e.g progressive hydronephrosis, small intestinal obstruction, chronic venous insufficiency, arterio-venous fistula, and gross haematuria from arterio-vesical fistula. We report a patient suffering from a ruptured iliac aneurysm associated with a new sign that has not been described hitherto: perineal bruising.- - - - - - - - - - ranking = 3.5keywords = aneurysm (Clic here for more details about this article) |
5/10. Ruptured aneurysm of the subclavian artery in a patient with von Recklinghausen's disease.A vascular manifestation of von Recklinghausen's disease is rare, but may be fatal if it is disrupted. A 39-year-old male with von Recklinghausen's disease presented with a large and tender bruise extending from his left neck to his left shoulder and arm. Computerized axial tomography revealed a ruptured aneurysm of the left subclavian artery. The patient underwent emergency surgery to exclude the aneurysm, and cross-over bypass grafting of both subclavian arteries was performed. We present a brief review of vascular maintestation of von Recklinghausen's disease, as well as a discussion regarding the strategy for treating this rare presentation.- - - - - - - - - - ranking = 3keywords = aneurysm (Clic here for more details about this article) |
6/10. Traumatic aneurysm of the bifurcation of the abdominal aorta in an infant. A case report.Post-traumatic aneurysms are extremely rare in the infant population. We report a case of delayed abdominal aortic aneurysm that appeared in a 5-year-old female, admitted 5 months previously with contusions to the abdomen.- - - - - - - - - - ranking = 3keywords = aneurysm (Clic here for more details about this article) |
7/10. Myocardial necrosis and ventricular aneurysm following closed chest injury in a child.A 4-year-old child is described who suffered an unsuspected myocardial contusion which led to the formation of a ventricular aneurysm 2 months after an automobile accident. electrocardiography, thallium scanning, myocardial enzyme assays, two-dimensional echocardiography and, when indicated, cardiac catheterization, may aid in the early diagnosis of cardiac contusions. In the patient presented, resection of the aneurysm 6 months postinjury was followed by elimination of almost all the mitral regurgitation originally present and good cardiovascular function.- - - - - - - - - - ranking = 3keywords = aneurysm (Clic here for more details about this article) |
8/10. A leaking aortic aneurysm presenting as a recurrent neck swelling.We present a case of an 82-year-old lady with recurrent neck swelling and a history of intermittent stridor who subsequently developed a contusion over her lower neck and upper chest. The patient collapsed on her way to have a CT scan and died 24 hours later of a leaking aortic aneurysm. At initial presentation the complete resolution of poorly localizing symptoms and signs almost allowed her discharge from hospital.- - - - - - - - - - ranking = 2.5keywords = aneurysm (Clic here for more details about this article) |
9/10. Cardiac contusion and creatine kinase-MB: a pertinent case history and brief review of the utility of CK-MB.Cardiac contusion is defined as the myocardial cellular damage that can result from nonpenetrating chest trauma. However the noninvasive diagnosis of this lesion is problematic. Among the criteria suggested for the diagnosis of cardiac contusion is an elevation of serum levels of the heart-specific isoform of the enzyme creatine kinase (CK-MB). We present here the case of a patient who, on the basis of an initial elevation of CK-MB, was suspected of having cardiac contusion as a result of a motor vehicle accident. The patient was clinically stable and there were no other signs to support this diagnosis. Serial analyses showed a fall in total CK to below the upper limit of the reference interval but, as a percent of total activity, CK-MB was constantly slightly elevated (values 5.1-6.5%, upper limit of normal = 4%). At the same time the patient appeared to be improving clinically. The patient's status deteriorated suddenly and he eventually went to surgery where a large intramural haematoma and a left ventricular aneurysm were discovered. The significance of the elevations of serum CK-MB is discussed and a brief review of the literature is presented.- - - - - - - - - - ranking = 0.5keywords = aneurysm (Clic here for more details about this article) |
10/10. Posttraumatic left ventricular pseudoaneurysm due to intramyocardial dissecting hematoma.A left ventricular aneurysm can develop in patients sustaining blunt chest injury. This condition has been attributed to myocardial contusion or to a direct vascular lesion leading to myocardial necrosis. We report the case of a pseudoaneurysm resulting from myocardial dissection beginning from a small tear in the endocardial wall. Successful surgical exclusion of the pseudoaneurysm by endoaneurysmal patch closure of the communications between the aneurysm and the left ventricular cavity is described.- - - - - - - - - - ranking = 13.659064092934keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
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