case_images: PMC10438978_01
case_images: Axial computed tomography scan of the chest performed on a 65-year-old male patient after a frontal collision accident. Aortic dissection is observed at the level of the arch and proximal third of the descending aorta.
case_images: CRIOR2023-8918724.001.jpg
case_images: PMC10438978_01_CRIOR2023-8918724.001.jpg
case_images: fig1
case_images: Results show evident injury at the level of the aortic arch and descending portion, without data of spinal compromise (Figure 1).
case_images: 3D reconstruction of a segmental fracture of the distal 1/3 of the right femur AO 32C3k (treated with external fixators) and intertrochanteric fracture AO 31A1.3.
case_images: CRIOR2023-8918724.002.jpg
case_images: PMC10438978_01_CRIOR2023-8918724.002.jpg
case_images: fig2
case_images: It is worth mentioning that this procedure is performed without anesthesia due to the paraplegia presented by the patient (Figure 2).
case_images: Axial and sagittal section of the thorax and abdomen with intravenous contrast, with angiotomography protocol where dissection is observed at the level of the aortic arch, distal to the emergence of the supra-aortic stems (DeBakey III) with extravasation of the contrast medium into the false lumen, and extension until the emergence of the celiac trunk.
case_images: CRIOR2023-8918724.003.jpg
case_images: PMC10438978_01_CRIOR2023-8918724.003.jpg
case_images: fig3
case_images: The dissection is classified as type IIIb DeBakey, Stanford type B (Figure 3).
case_images: Fluoroscopic image of endovascular prosthesis placement.
case_images: CRIOR2023-8918724.004.jpg
case_images: PMC10438978_01_CRIOR2023-8918724.004.jpg
case_images: fig4
case_images: Endovascular prostheses placement in the hemodynamics area is decided (Figure 4).
case_images: Post-surgical X-ray of the right femur after osteosynthesis with proximal femoral nail and distal femur anatomical plate.
case_images: CRIOR2023-8918724.005.jpg
case_images: PMC10438978_01_CRIOR2023-8918724.005.jpg
case_images: fig5
case_images: Three days after admission, the osteosynthesis of the right femur is performed with proximal femoral nail and anatomical plaque of the distal femur (Figure 5), without incidents or accidents during surgery, after the surgical event a globular package is transfused.
case_images: Post-surgical angiomesenteric tomography, an aortic endoprosthesis is observed in the aortic arch and descending portion. No data on intramural hematomas or extravasation of contrast at the time of the study.
case_images: CRIOR2023-8918724.006.jpg
case_images: PMC10438978_01_CRIOR2023-8918724.006.jpg
case_images: fig6