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Iranian Heart Journal، جلد ۲۳، شماره ۴، صفحات ۱۱۵-۱۱۹
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عنوان انگلیسی Calcified Thoracic Mass as a Sign of Old Blunt Aortic Trauma: An Interesting Case of Aortic Pseudoaneurysm
چکیده انگلیسی مقاله Blunt aortic trauma is a relatively rare fatal event with a high acute mortality rate of more than 80% on the scene. If the patient survives the primary injury, high clinical suspicion is necessary for diagnosis. The main mechanism of the trauma is reported to be deceleration injury or falling from a height. Herein, we describe a 37-year-old healthy male on a heavy weight lifting job for many years with a left upper mediastinum calcified mass incidentally discovered 18 years after blunt chest trauma. Transthoracic echocardiography and contrast-enhanced chest computed tomography scan revealed an aortic pseudoaneurysm just after the isthmus without descending aortic flow limitation, which was subjected to endovascular repair. High clinical suspicion is necessary for the diagnosis of aortic injury during blunt chest trauma. Atypical symptoms late after a traumatic event may be a manifestation of missed traumatic aortic rupture. Surgical repair, percutaneous intervention, or hybrid approaches are proposed for the management of this ominous scenario. (Iranian Heart Journal 2022; 23(4): 115-119)
کلیدواژه‌های انگلیسی مقاله Aortic disease,Four-dimensional computed tomography,echocardiography,Multiple Trauma,Descending aorta,Blunt Injury
نویسندگان مقاله Azin Alizadehasl |
Cardio-Oncology Department & Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.

Azam Soleimani |
Cardiac Rehabilitation Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, IR Iran.

Seyed Asadollah Moosavi |
Shariati Hospital, Tehran University of Medical Sciences, Tehran, IR Iran.

Hamidreza Pouraliakbar |
Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.

Mehrdad Haghazli |
Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.

Payam Azadeh |
Department of Radiation Oncology, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.

Feridoun Noohi |
Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.

نشانی اینترنتی http://journal.iha.org.ir/article_158158_fa59821b35a006907b4026f05afef0b6.pdf
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