ArticleJournal of cardiothoracic surgery2026
Traumatic aortic isthmus transection with pseudoaneurysm formation and massive mediastinal hematoma: management challenges in resource-limited countries: case report.
Article in Journal of cardiothoracic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBlunt thoracic aortic injury (BTAI) is rare but highly lethal, particularly at the aortic isthmus. Survival depends on early diagnosis, rapid resuscitation, and timely definitive intervention, which is challenging in resource-limited settings. CASE PRESENTATION: A 35-year-old male presented 30 min after a high-impact road traffic accident in traumatic haemorrhagic shock (BP 80/50 mmHg, HR 120 bpm, RR 30/min, SpO₂ 86%). Examination revealed bilateral hemopneumothorax, rib fractures, and subcutaneous emphysema. Initial management included oxygen, bilateral chest tubes, IV fluids, and massive transfusion (5 units each of PRBC, FFP, platelets). Contrast-enhanced CT demonstrated a full-thickness aortic transection 2.5 cm distal to the left subclavian artery, forming a pseudoaneurysm with mediastinal hematoma. Despite aggressive resuscitation and attempted transfer to a tertiary vascular centre, the patient died 12 h post-injury. DISCUSSION: Temporary survival in severe BTAI is possible with aggressive resuscitation and mediastinal tamponade. Delays in imaging, referral, and vascular expertise in resource-limited settings significantly reduce survival. Policy-level interventions (trauma networks, pre-hospital EMS) and practice-level strategies (standardized resuscitation, hypotensive protocols, protocolized transfer) are critical.
conclusionResuscitation can extend survival in catastrophic BTAI, but definitive surgical repair is essential. Strengthening trauma systems and referral pathways is vital in low-resource settings.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.