Abstract
We present an interesting case of a 53-year-old man with a non-patent ductus arteriosus erroneously diagnosed as acute thoracic aorta transection after a car accident. The aortography revealed a "rupture" of the linear inner curve of the aorta in the isthmus area, as well as a protrusion of the aortic lumen in the corresponding area. During the followed thoracotomy an intact thoracic aorta and the remnant of a non-patent ligamentum arteriosum were found. It is the first reported case and we review all the possible entities which may give a false-positive image of traumatic aortic transection.
Highlights
Aortography was for many years the “gold standard” in diagnosis of acute traumatic aortic rupture against the two other methods of diagnostic imaging: CT-angiography and transesophageal ECHO [1]
We describe a case of an injured patient with highsuspicion index of traumatic aortic rupture, which was based on a false-positive aortography
Aortography is considered as the exam with the higher specificity and sensibility approaching the 100% [2]
Summary
Remnant of a non-patent ductus arteriosus mimicking traumatic thoracic aorta transection: a case report. Efstratios E Apostolakis, Nikolaos G Baikoussis1*, Christina Kalogeropoulou, Efstratios Koletsis, Ioanna Koniari, Dimitrios Karnabatidis, Menelaos Karanikolas
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