脊髄損傷による四肢麻痺を合併した外傷性仮性大動脈瘤の1例

摘要

Blunt aortic injury is a major cause of death from blunt trauma and it generally accompanies with the other multiple serious injuries,A 67-year-old man sustained a blunt aortic injury and a fracture of 5th cervical vertebrae complicated with a spinal cord injury.A neurological examination showed a complete paralysis of the limbs.However,his respiratory status and circulatory status were stable.On admission,the paralysis improved resulting from high dose steroid injection and a cervical traction.An orthopedic operation was required before a cardiovascular operation even though computed tomography (CT) showed that a pseudo aortic aneurysm on the distal arch tended to enlarge in the short period.As a result,the aorta was repaired about 5 months after the injury.Delayed repair was performed in safe after careful and serial CT follow-up.