{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,9]],"date-time":"2024-09-09T14:42:25Z","timestamp":1725892945432},"reference-count":14,"publisher":"Index Copernicus","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pol Przegl Chir"],"published-print":{"date-parts":[[2019,11,6]]},"abstract":"<jats:p>A case of a 46-year-old car driver struck with great force by a tram through the driver\u2019s door is presented. The main trauma consisted in chest injury with multi-rib fracture along with rupture and dissection of the thoracic aorta. Immediate medical rescue actions consisted only in procedures necessary to support vital functions; the patient survived owing to being promptly transported to the Emergency Department to undergo thoracotomy and laparotomy with massive blood transfusion. Polytrauma angio-CT scan revealed a posttraumatic thoracic aorta lesion which in turn was treated by deployment of an endovascular thoracic stent graft. This way, the immediate risk of death was averted, and the remaining traumatic lesions and conditions could be treated. Patient was discharged to a Rehabilitation Center on the 49th day of treatment. The authors stress that trauma resulting from accidents with this particular mechanism, i.e. lateral car crash on the driver\u2019s side with the driver\u2019s door being staved in by the tram, should be managed by immediate transport of the patient to the Emergency Center. In such cases early drainage of the pleural cavity can deteriorate patient\u2019s status by increasing the bleeding from the ruptured aorta.\n\n<\/jats:p>","DOI":"10.5604\/01.3001.0013.5567","type":"journal-article","created":{"date-parts":[[2019,11,13]],"date-time":"2019-11-13T12:37:57Z","timestamp":1573648677000},"page":"1-6","source":"Crossref","is-referenced-by-count":1,"title":["Multi-organ trauma with rupture and Stanford type B dissection of thoracic aorta. Management sequence. Current possibilities of medical treatment"],"prefix":"10.5604","volume":"92","author":[{"given":"W\u0142odzimierz","family":"Majewski","sequence":"first","affiliation":[{"name":"Zak\u0142ad Piel\u0119gniarstwa Chirurgicznego i Ratunkowego PUM, Szczecin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rabih","family":"Samad","sequence":"additional","affiliation":[{"name":"Klinika Chirurgii Naczyniowej, Og\u00f3lnej i Angiologii PUM, Szczecin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pawe\u0142","family":"B\u0105k","sequence":"additional","affiliation":[{"name":"Klinika Anestezjologii, Intensywnej Terapii i Medycyny Ratunkowej PUM, Szczecin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaros\u0142aw","family":"Wardyn","sequence":"additional","affiliation":[{"name":"Wojew\u00f3dzka Stacja Pogotowia Ratunkowego w Szczecinie"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pawe\u0142","family":"Dec","sequence":"additional","affiliation":[{"name":"Klinika Chirurgii Og\u00f3lnej i Chirurgii R\u0119ki PUM"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3689","reference":[{"key":"194048r1","doi-asserted-by":"crossref","unstructured":"Pattimore D., Thomas P., Dave S.H.: Torso injury patterns and mechanisms incar crashes: an additional diagnostic tool. Injury 1992; 23(2): 123\u2013126.","DOI":"10.1016\/0020-1383(92)90047-V"},{"key":"194048r2","unstructured":"Klinich K.D., Flannagan C.A., Nicholson K., Schneider L.W., Rupp J.D.: Factorsassociated with abdominal injury in frontal, farside and nearside crashes.Stapp Car Crash J., 2010; 54: 73\u201391."},{"key":"194048r3","unstructured":"Miltner E., Wiedmann H.P., Leutwein B., Hepp H.P., Fisher R., Salwender H.J.,Frobenius H., Kallieris D.: Liver and spleen ruptures in authentic car to carside collisions with main impact at front door or B-pillar. Am J Forensic Med.Patol., 1992; 13(1): 2\u20136."},{"key":"194048r4","unstructured":"Newgard C.D., Lewis R.J., Kraus J.F., McConell K.J.: Seat position and the riskof serious thoracoabdominal injury in lateral motor vehicle crashes. AccidAnal Prev., 2005; 37(4): 668\u201374."},{"key":"194048r5","doi-asserted-by":"crossref","unstructured":"Patelis N., Katsargyris A., Klonaris C.: Endovascular repair of traumatic isthmicruptures: special concerns. Front Surg 2017; 4: 32.","DOI":"10.3389\/fsurg.2017.00032"},{"key":"194048r6","doi-asserted-by":"crossref","unstructured":"Spiliotopulos K., Kokotsakis J., Argoriou M., Dedelias P., Farsaris D., DiamantisT., Charitos C.: Endovascular repair for blunt thoracic aortic injury: 11-yearoutcomes and postoperative surveillanc experience. J Thorac Cardiovasc Surg2014; 148: 2956\u201361.","DOI":"10.1016\/j.jtcvs.2014.08.019"},{"key":"194048r7","unstructured":"Semba C.P., Kato N., Kee S.T., Lee G.K., Mitchell R.S., Miller D.C. et al.: Acuterupture of the descending thoracic aorta: repair with use ofendovascularstent-grafts. JVasc Interv Radiol., 1997; 3: 337\u2013342."},{"key":"194048r8","unstructured":"Malgor R.D., Bilfinger T.V., McCormack J., Tassiopoulos A.K.: Outcomes ofblunt thoracic aortic injury in adolescents. Ann Vasc Surg., 2015; 29(3): 502\u2013510."},{"key":"194048r9","doi-asserted-by":"crossref","unstructured":"Abad C.: Endovascular repair for blunt thoracic aortic injury: a safe and durableprocedure. Editorial commentary. J Thorac Cardiovasc Surg 2014; 148: 2962.","DOI":"10.1016\/j.jtcvs.2014.09.114"},{"key":"194048r10","unstructured":"Pifaretti G., Benedetto F., Menegolo M., Antonello M., Tarallo A., Grego F.,Spinelli F., Castelli P.: Outcomes of endovascular repair for blunt thoracic aorticinjury. J Vasc Surg., 2013; 58: 1483\u20131489."},{"key":"194048r11","unstructured":"Harris D.G., Rabin G., Bhardwaj A., June A.S., Oates C.P., Garrido D., ToursavadkohiS., Khoynezhad A., Crawford R.S.: Nonoperative Management ofTraumatic Aortic Pseudoaneurysms. Ann Vasc Surg., 2016; 35: 75\u201381."},{"key":"194048r12","unstructured":"Wong S., Mastracci T.M., Katsargyris A.,Verhoeven E.L.G.: The role of mandatoryLifelong annual surveillance after thoracic endovascular repair. J VascSurg., 2012; 56(6): 1786\u20131794."},{"key":"194048r13","unstructured":"Tanizaki S., Maeda S., Matano H., Nagai H., Nakanishi T., Ishida H.: BluntThoracic Aortic injury with small pseudoaneurysm may be managed by nonoperativetreatment. J Vasc Surg., 2016; 63(2): 341\u2013344."},{"key":"194048r14","unstructured":"Pifaretti G., Menegolo M., Kahlberg A., Mariscalco G., Rinaldi E., Castelli P., GregoF., Chiesa R., Antonello M.: Hemothorax management after endovascular treatmentfor thoracic aortic rupture. Eur J Vasc Endovasc Surg., 2015; 50(5): 608\u2013613."}],"container-title":["Polish Journal of Surgery"],"original-title":[],"link":[{"URL":"https:\/\/ppch.pl\/gicid\/pdf\/01.3001.0013.5567","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/ppch.pl\/gicid\/pdf\/01.3001.0013.5567","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,10,8]],"date-time":"2020-10-08T08:23:23Z","timestamp":1602145403000},"score":1,"resource":{"primary":{"URL":"https:\/\/ppch.pl\/gicid\/01.3001.0013.5567"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11,6]]},"references-count":14,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020,4,3]]}},"URL":"https:\/\/doi.org\/10.5604\/01.3001.0013.5567","relation":{},"ISSN":["0032-373X","2299-2847"],"issn-type":[{"value":"0032-373X","type":"print"},{"value":"2299-2847","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,11,6]]}}}