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Canadian Journal of Anesthesia, Vol 39, 296-298, Copyright © 1992 by Canadian Anesthesiologists' Society

ARTICLES

Traumatic rupture of the thoracic aorta: diagnosis on fibreoptic bronchoscopy

D Oxorn and G Pagliarello
Department of Anaesthesia, Sunnybrook Health Science Centre, Toronto, Ontario, Canada.

The diagnosis of thoracic aortic rupture can be difficult, especially in the presence of other life-threatening injuries. We present a case in which the presence of major intraabdominal trauma shifted clinical attention away from the mediastinum. During bronchoscopy, which was performed to investigate high intraoperative airway pressures, unexpected tracheal and carinal compression were discovered. Thoracic aortography revealed aortic rupture distal to the left subclavian artery. Successful repair was subsequently achieved.




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Copyright © 1992 by the Canadian Anesthesiologists' Society.