A Case of Traumatic Diaphragmatic Hernia and Thoracic Aortic Injury

Abstract

When the aorta is damaged during blunt injury, the patient may die before arriving at the hospital, and saving the aorta may be difficult. We used thoracic endovascular aortic repair (TEVAR) for insulted aortic treatment in a short time period along with diaphragmatic treatment. A 32-year-old man was injured because of a motorbike accident. He was in a shock state when he was brought in an ambulance. He was diagnosed with traumatic diaphragmatic hernia and thoracic aortic injury by Chest X-ray and enhanced computed tomography (CT). His diaphragm was restored by laparotomy after TEVAR under general anesthesia. He was discharged 23 days postoperatively.
Priority of the treatment to the multiple diseases of the patient is important, and the combination of TEVAR was thought to be effective during multiple injuries with aorta damage.