{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:20:13Z","timestamp":1760145613548,"version":"build-2065373602"},"reference-count":13,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Reports"],"abstract":"<jats:p>A penetrating thoracic aorta injury (PTAI) is a life-threatening condition with significant morbidity and mortality, often resulting from several traumatic mechanisms. Among these, gunshot wounds leading to aortic injury are exceedingly rare and pose unique challenges in terms of diagnosis, management, and surgical intervention. We present a case of a 47-year-old male victim of a gunshot wound resulting in penetrating chest trauma and a descending thoracic aorta injury. This report outlines the sequential management involving thoracic endovascular aortic repair (TEVAR), followed by surgical intervention for hematoma drainage and foreign body removal, highlighting the interdisciplinary approach required in managing complex cardiothoracic injuries.<\/jats:p>","DOI":"10.3390\/reports7030063","type":"journal-article","created":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T08:14:46Z","timestamp":1722500086000},"page":"63","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Multimodal Management of a Descending Aorta Injury with Penetrating Chest Trauma: A Case Report"],"prefix":"10.3390","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9793-3250","authenticated-orcid":false,"given":"Giuseppe","family":"Sena","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, A.O.U. \u201cR. Dulbecco\u201d, 88100 Catanzaro, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo","family":"Perri","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, \u201cAnnunziata\u201d Hospital, 87100 Cosenza, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo","family":"Piro","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, \u201cAnnunziata\u201d Hospital, 87100 Cosenza, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Zinno","sequence":"additional","affiliation":[{"name":"Immunohaematology Section, \u201cAnnunziata\u201d Hospital, 87100 Cosenza, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Mazzuca","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Medicine, University Magna Graecia of Catanzaro, 88100 Catanzaro, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9199-8755","authenticated-orcid":false,"given":"Davide","family":"Costa","sequence":"additional","affiliation":[{"name":"Interuniversity Center of Phlebolymphology (CIFL), University Magna Graecia of Catanzaro, 88100 Catanzaro, Italy"},{"name":"Department of Medical and Surgical Sciences, University Magna Graecia of Catanzaro, 88100 Catanzaro, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4477-7412","authenticated-orcid":false,"given":"Raffaele","family":"Serra","sequence":"additional","affiliation":[{"name":"Interuniversity Center of Phlebolymphology (CIFL), University Magna Graecia of Catanzaro, 88100 Catanzaro, Italy"},{"name":"Department of Medical and Surgical Sciences, University Magna Graecia of Catanzaro, 88100 Catanzaro, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,8,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"698","DOI":"10.1097\/00000658-198906000-00007","article-title":"Five thousand seven hundred sixty cardiovascular injuries in 4459 patients. Epidemiologic evolution 1958 to 1987","volume":"209","author":"Mattox","year":"1989","journal-title":"Ann. Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1016\/0003-4975(93)90255-G","article-title":"Penetrating injuries of the aortic arch and its branches","volume":"55","author":"Pate","year":"1993","journal-title":"Ann. Thorac. Surg."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1007\/s00068-014-0382-y","article-title":"Vascular injuries following blunt polytrauma","volume":"40","author":"Muckart","year":"2014","journal-title":"Eur. J. Trauma Emerg. Surg."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"117","DOI":"10.12945\/j.aorta.2013.12-009","article-title":"Acute Traumatic Thoracic Aortic Injury: Considerations and Reflections on the Endovascular Aneurysm Repair","volume":"1","author":"Pacini","year":"2013","journal-title":"Aorta"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/j.jamcollsurg.2011.11.015","article-title":"Aortic Injuries: Crossing the rubicon","volume":"214","author":"Demetriades","year":"2012","journal-title":"J. Am. Coll. Surg."},{"key":"ref_6","first-page":"15","article-title":"Outcomes for cervicomediastinal vascular trauma managed by a vascular subspecialist led vascular trauma service","volume":"54","author":"Islam","year":"2016","journal-title":"S. Afr. J. Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"2647","DOI":"10.1007\/s00268-020-05497-z","article-title":"An Update on Foley Catheter Balloon Tamponade for Penetrating Neck Injuries","volume":"44","author":"Scriba","year":"2020","journal-title":"World J. Surg."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1136\/emj.2008.063958","article-title":"Imaging The Oesophagus After Penetrating Cervical Trauma Using Water Soluble Contrast Alone: Simple, Cost Effective And Accurate","volume":"26","author":"Nel","year":"2009","journal-title":"Emerg. Med. J."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1007\/s00068-019-01171-9","article-title":"Blunt cerebrovascular injury: Incidence and long-term follow-up","volume":"47","author":"Hundersmarck","year":"2021","journal-title":"Eur. J. Trauma Emerg. Surg."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/j.jvs.2010.08.027","article-title":"Endovascular repair of traumatic thoracic aortic injury: Clinical practice guidelines of the Society for Vascular Surgery","volume":"53","author":"Lee","year":"2011","journal-title":"J. Vasc. Surg."},{"key":"ref_11","first-page":"CD006642","article-title":"Thoracic endovascular repair (TEVAR) versus open surgery for blunt traumatic thoracic aortic injury","volume":"2","author":"Pang","year":"2019","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"2277","DOI":"10.1111\/trf.16552","article-title":"Blood Trasfusions in gunshot-wound-related emergency department visits and hospitalizations in the United States","volume":"61","author":"Goel","year":"2021","journal-title":"Transufion"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1016\/j.emc.2020.06.005","article-title":"Emergency Transfusions","volume":"38","author":"Farrel","year":"2020","journal-title":"Emerg. Med. Clin."}],"container-title":["Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2571-841X\/7\/3\/63\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:27:57Z","timestamp":1760110077000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2571-841X\/7\/3\/63"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,1]]},"references-count":13,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,9]]}},"alternative-id":["reports7030063"],"URL":"https:\/\/doi.org\/10.3390\/reports7030063","relation":{},"ISSN":["2571-841X"],"issn-type":[{"type":"electronic","value":"2571-841X"}],"subject":[],"published":{"date-parts":[[2024,8,1]]}}}