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Case Report

Surgical Stabilisation of Traumatic Rib Fractures with Chronic, Residual Type A Aortic Dissection

1
Department of Surgery, St George Hospital, Kogarah, NSW 2217, Australia
2
Australian Catholic University, Watson, ACT 2602, Australia
*
Author to whom correspondence should be addressed.
Healthcare 2021, 9(4), 392; https://doi.org/10.3390/healthcare9040392
Received: 8 March 2021 / Revised: 23 March 2021 / Accepted: 23 March 2021 / Published: 1 April 2021
(This article belongs to the Section Critical Care)
Surgical stabilisation of rib fractures (SSRF) reduces morbidity and mortality. However, its impact in complicated cases, particularly those with underlying thoracic pathologies, is of continued interest. Electronic records were retrospectively reviewed after obtaining informed consent from the patient. This case report details a patient with chronic, residual, Stanford Type A aortic dissection (AD) who had multiple left-sided rib fractures with a flail segment after being struck by a bicycle. The preoperative computed tomography (CT) of the patient’s chest showed that the sixth posterior rib fracture location was just ~13 mm from the false lumen of the aorta. As the patient had poor respiratory output and persistent pain, SSRF was not performed on the posterior sections. However, the anterior third to seventh rib fractures were plated. The patient recovered fully, with reduced pain and improved respiratory function. This is the first report describing the benefits of SSRF with AD or major thoracic pathologies. Further research into the benefits of SSRF in specific thoracic pathologies may lead to improved patient outcomes. This may require the creation of profiles of patient cohorts with relevant clinical history to determine if SSRF may benefit patients with specific thoracic pathologies. View Full-Text
Keywords: aortic dissection; rib fracture; rib stabilisation; stabilisation of rib fractures aortic dissection; rib fracture; rib stabilisation; stabilisation of rib fractures
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MDPI and ACS Style

Matic, K.J.; Cheluvappa, R.; Selvendran, S. Surgical Stabilisation of Traumatic Rib Fractures with Chronic, Residual Type A Aortic Dissection. Healthcare 2021, 9, 392. https://doi.org/10.3390/healthcare9040392

AMA Style

Matic KJ, Cheluvappa R, Selvendran S. Surgical Stabilisation of Traumatic Rib Fractures with Chronic, Residual Type A Aortic Dissection. Healthcare. 2021; 9(4):392. https://doi.org/10.3390/healthcare9040392

Chicago/Turabian Style

Matic, Kieran J.; Cheluvappa, Rajkumar; Selvendran, Selwyn. 2021. "Surgical Stabilisation of Traumatic Rib Fractures with Chronic, Residual Type A Aortic Dissection" Healthcare 9, no. 4: 392. https://doi.org/10.3390/healthcare9040392

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