A Case Report of Traumatic Aortic Arch Injury with Mesenteric Injury and Femoral Head Fracture

Abstract

Traumatic aortic arch rupture is a rare but life-threatening condition. A 78-year-old man was admitted to our hospital due to a traffic accident. Contrast-enhanced computed tomography showed an aortic intimal tear at the ostium of the left common carotid artery with pseudoaneurysm expanding into the descending aorta. In addition, a mesenteric injury with a hemorrhage and left femoral head fracture were observed. An urgent operation of total arch replacement was performed with the aid of the J-graft open stent graft. The hemostatic procedure for the mesenteric injury was also performed simultaneously. Although long term rehabilitation was required, the patient was discharged and returned home 97 days after the operation. Total arch replacement using the J-graft open stent graft may be a valuable therapeutic option for a traumatic aortic arch injury with multiple organ injuries.