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September 1966

False Aneurysm of the Aorta Following Penetrating Trauma: Report of a Case With Secondary Infection and Delayed Rupture

Author Affiliations

From 7272 USAF Hospital, Wheelus Air Force Base, Tripoli, Libya. Dr. Bennett is presently with the Department of Pathology, Washington University, St. Louis.

Arch Surg. 1966;93(3):404-408. doi:10.1001/archsurg.1966.01330030034008

LONG-TERM survival with a false aneurysm of the aorta following penetrating trauma is a unique occurrence. Death from rapid exsanguination or cardiac tamponade is the immediate result in over 80% of stab and missile wounds to the aorta, and there is an additional 30% mortality during the first 24 hours in the group of initial survivors.1 Only the development of a false aneurysm or arteriovenous fistula permits long-term survivals. The following example of false aortic aneurysm secondary to penetrating trauma was unusual in its development and location, had a long asymptomatic period before development of fatal complications, and emphasizes the need to follow well founded dicta of management.

Report of Case  A 13-year-old boy was stabbed in the left lumbar region on Feb 14, 1962. The embedded knife blade was 6 inches in length and was easily removed. Upon removal there was brisk bleeding which subsided spontaneously. He did

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