Successful Open Repair of Blunt Traumatic Thoracoabdominal Aortic Injury with Concomitant Lumbosacral Fracture–Dislocation

Background : Although rare, blunt traumatic aortic injury occurs in the aortic isthmus and rarely in the thoracoabdominal aorta. Case presentation : A 56-year-old man became unconscious after falling from the third floor during a suicide attempt. Computed tomography revealed a thoraco-abdominal aortic injury (dissection and pseudo-aneurysm) and a posterior dislocation fracture at L1/L2. Thoraco-abdominal aortic graft replacement was performed 3 d after the injury, and posterior spinal fusion was performed 10 d later. Conclusions : Thoracic endovascular aortic repair is usually performed for blunt traumatic aortic injury of the aortic isthmus; however, open surgery is required for blunt traumatic aortic injury of the thoracoabdominal aorta.