Open AccessBlunt aortic dissection and bilateral internal carotid dissection in the setting of polytrauma: A case report
Author(s) -
Akshay Shanker,
Amanda Gifford,
Charles Bendas,
Roberto Castillo
Publication year - 2020
Publication title -
international journal of critical illness and injury science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.274
H-Index - 12
eISSN - 2231-5004
pISSN - 2229-5151
DOI - 10.4103/ijciis.ijciis_10_20
Subject(s) - medicine , polytrauma , blunt , dissection (medical) , aortic dissection , surgery , radiology , aorta
Severe polytrauma involving multiple organ systems presents a significant challenge to any trauma center. We present a case of a patient presenting simultaneously with a type B aortic dissection, bilateral internal carotid dissections, a brachiocephalic artery dissection, and a splenic laceration among other injuries. In this patient with both solid organ injury and vascular trauma, we discuss how multidisciplinary collaboration was required to prioritize treatment goals and determine the proper initiation of antiplatelet and anticoagulation therapies.