PMC9758710_01
The Computed tomography angiography. Coronal view. Blunt traumatic thoracic aortic injury and Liver packing are seen
bet-10-201-g001.jpg
PMC9758710_01_bet-10-201-g001.jpg
F1
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). 
Postoperative positive and negative chest X-ray. Thoracic and liver gauze packing are seen
bet-10-201-g002.jpg
PMC9758710_01_bet-10-201-g002.jpg
F2
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).
No signs of bleeding after thoracic pack removal
bet-10-201-g003.jpg
PMC9758710_01_bet-10-201-g003.jpg
F3
The thoracic packs were carefully removed and no active bleeding or oozing was seen from the mediastinum or pleural cavity (Figure 3).
Follow-up chest X-ray one year after the surgery
bet-10-201-g004.jpg
PMC9758710_01_bet-10-201-g004.jpg
F4
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).