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May 1966

Aortic Arch Thrombosis

Author Affiliations

From Harvard Medical School and The Massachusetts General Hospital (Drs. Joison and Austen); Boston University School of Medicine and Boston City Hospital (Drs. Shapiro, Ferris, and Byrne).

Arch Surg. 1966;92(5):808-810. doi:10.1001/archsurg.1966.01320230156029

THROMBOSIS HROMBOSIS of the aortic arch with embolization to the peripheral arteries is an unknown sequence.1-3 Although lesions resulting from thoracic injuries have been described,4-10 the authors are not acquainted with vascular obstructions such as the one under discussion.

Aneurysms and abrupt rupture of the aorta are sometimes seen following closed thoracic trauma.4,7,8 Primary arterial11 and nontraumatic thrombosis of the pulmonary artery12,13 or abdominal aorta14 are entities not related to the present syndrome which occurred during civilian life.

It is interesting that in wartime thoracic injuries aortic thrombosis either did not exist or was not recognized, perhaps because of relatively early fatality.4 in 1944, thoracic injuries during wartime directed the attention of surgeons to pulmonary trauma.5,15,16 Recently, a review of 2,811 thoracic injuries from the Korean conflict revealed that a few foreign bodies were found in the heart.6

The majority of

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