Traumatic intercostal arterial bleeding controlled with a novel surgical technique: a case report

A blunt thoracic trauma may cause arterial bleeding requiring operative treatment or endovascular embolization or endovascular aortic stenting. A novel damage control technique to stop such bleeding is presented. We present the case of an 82-year-old Caucasian man who experienced rib fractures I-VII...

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Bibliographic Details
Published in:Journal of medical case reports 2012-09, Vol.6 (1), p.318-318, Article 318
Main Authors: Miettinen, Simo, Hakala, Tapio
Format: Article
Language:English
Subjects:
Bleeding
Blood circulation disorders
Blunt
Care and treatment
Case Report
Case studies
Diagnosis
Emergency
Endovascular stents
Fractures
Head injuries
Health aspects
Hemorrhage
Hemothorax
Methods
Ribs
Surgery
Thoracotomy
Trauma
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Summary:A blunt thoracic trauma may cause arterial bleeding requiring operative treatment or endovascular embolization or endovascular aortic stenting. A novel damage control technique to stop such bleeding is presented. We present the case of an 82-year-old Caucasian man who experienced rib fractures I-VII on the left side and bleeding from damaged intercostal arteries after a blunt thoracic trauma. Emergency thoracotomy was performed. Effective hemostasis was achieved by using a rolled surgical swab and inserting it against the chest wall next to the aorta with sutures pulled through the intercostal muscles and then sutured to the back side of the patient. The patient died four days after the surgery due to a head injury sustained in the car crash.
ISSN:1752-1947
1752-1947
DOI:10.1186/1752-1947-6-318