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Surgical stabilisation of traumatic rib fractures with chronic, residual Type A aortic dissection
Matic, Kieran J. Cheluvappa, Rajkumar Selvendran, Selwyn
Matic, Kieran J.
Cheluvappa, Rajkumar
Selvendran, Selwyn
Abstract
Surgical stabilisation of rib fractures (SSRF) reduces morbidity and mortality. However, its impact in complicated cases, particularly those with underlying thoracic pathologies, is of continued interest. Electronic records were retrospectively reviewed after obtaining informed consent from the patient. This case report details a patient with chronic, residual, Stanford Type A aortic dissection (AD) who had multiple left-sided rib fractures with a flail segment after being struck by a bicycle. The preoperative computed tomography (CT) of the patient’s chest showed that the sixth posterior rib fracture location was just ~13 mm from the false lumen of the aorta. As the patient had poor respiratory output and persistent pain, SSRF was not performed on the posterior sections. However, the anterior third to seventh rib fractures were plated. The patient recovered fully, with reduced pain and improved respiratory function. This is the first report describing the benefits of SSRF with AD or major thoracic pathologies. Further research into the benefits of SSRF in specific thoracic pathologies may lead to improved patient outcomes. This may require the creation of profiles of patient cohorts with relevant clinical history to determine if SSRF may benefit patients with specific thoracic pathologies.
Keywords
aortic dissection, rib fracture, rib stabilisation, stabilisation of rib fractures
Date
2021
Type
Journal article
Journal
Healthcare
Book
Volume
9
Issue
4
Page Range
1-6
Article Number
ACU Department
Relation URI
Source URL
Event URL
Open Access Status
Published as ‘gold’ (paid) open access
License
CC BY 4.0
File Access
Open