case_images: PMC9758710_01
case_images: The Computed tomography angiography. Coronal view. Blunt traumatic thoracic aortic injury and Liver packing are seen
case_images: bet-10-201-g001.jpg
case_images: PMC9758710_01_bet-10-201-g001.jpg
case_images: F1
case_images: Moreover, it was revealed that the patient had a traumatic aortic injury in the descending part of the thoracic aorta (grade III BTAI) distal to the left subclavian artery (Figure 1). 
case_images: Postoperative positive and negative chest X-ray. Thoracic and liver gauze packing are seen
case_images: bet-10-201-g002.jpg
case_images: PMC9758710_01_bet-10-201-g002.jpg
case_images: F2
case_images: Considering the extent of the coagulopathy and cardiopulmonary bypass time, we decided to meticulously pack the left pleural cavity with lap sponges as damage control (Figure 2).
case_images: No signs of bleeding after thoracic pack removal
case_images: bet-10-201-g003.jpg
case_images: PMC9758710_01_bet-10-201-g003.jpg
case_images: F3
case_images: The thoracic packs were carefully removed and no active bleeding or oozing was seen from the mediastinum or pleural cavity (Figure 3).
case_images: Follow-up chest X-ray one year after the surgery
case_images: bet-10-201-g004.jpg
case_images: PMC9758710_01_bet-10-201-g004.jpg
case_images: F4
case_images: In the past two years, the patient has been visited, showing no signs of any complication or infection regarding BTAI surgery or the thoracic gauze packing technique (Figure 4).