Skip to main content
Annals of Surgery logoLink to Annals of Surgery
. 1975 May;181(5):640–653. doi: 10.1097/00000658-197505000-00019

Aortic and other arterial injuries.

J D Hardy, S Raju, W A Neely, D W Berry
PMCID: PMC1345557  PMID: 1130881

Abstract

Three hundred sixty arterial injuries in 353 patients are reviewed. They covered a wide spectrum of injuries and included 36 aortic injuries and 19 cases of carotid truama. The mortality rate of 12% was in large part due to aortic injuries. Shock was the predominant cause of death. Infection was the most frequent non-fatal complication. Pulmonary complications were surprisingly uncommon. With methods and techniques discussed in the paper, 90% satisfactory end results were achieved. The amputation rate was 6% where extremity injuries were involved.

Full text

PDF
640

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cohen C. A., Brief D., Mathewson C., Jr Carotid artery injuries. An analysis of eighty-five cases. Am J Surg. 1970 Aug;120(2):210–214. doi: 10.1016/s0002-9610(70)80113-1. [DOI] [PubMed] [Google Scholar]
  2. Conn J. H., Hardy J. D., Chavez C. M., Fain W. R. Challenging arterial injuries. J Trauma. 1971 Feb;11(2):167–177. doi: 10.1097/00005373-197102000-00007. [DOI] [PubMed] [Google Scholar]
  3. DiVincenti F. C., Weber B. B. Traumatic carotid artery injuries in civilian practice. Am Surg. 1974 May;40(5):277–280. [PubMed] [Google Scholar]
  4. Drapanas T., Hewitt R. L., Weichert R. F., 3rd, Smith A. D. Civilian vascular injuries: a critical appraisal of three decades of management. Ann Surg. 1970 Sep;172(3):351–360. doi: 10.1097/00000658-197009000-00005. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Eger M., Golcman L., Schmidt B., Hirsch M. Problems in the management of popliteal artery injuries. Surg Gynecol Obstet. 1972 Jun;134(6):921–926. [PubMed] [Google Scholar]
  6. Flint L. M., Snyder W. H., Perry M. O., Shires G. T. Management of major vascular injuries in the base of the neck. An 11-year experience with 146 cases. Arch Surg. 1973 Apr;106(4):407–413. doi: 10.1001/archsurg.1973.01350160029005. [DOI] [PubMed] [Google Scholar]
  7. Hunt T. K., Blaisdell F. W., Okimoto J. Vascular injuries of the base of the neck. Arch Surg. 1969 May;98(5):586–590. doi: 10.1001/archsurg.1969.01340110078006. [DOI] [PubMed] [Google Scholar]
  8. Knightly J. J., Swaminathan A. P., Rush B. J., Jr Management of penetrating wounds of the neck. Am J Surg. 1973 Oct;126(4):575–580. doi: 10.1016/s0002-9610(73)80052-2. [DOI] [PubMed] [Google Scholar]
  9. Lindenauer S. M., Thompson N. W., Kraft R. O., Fry W. J. Late complications of traumatic arteriovenous fistulas. Surg Gynecol Obstet. 1969 Sep;129(3):525–532. [PubMed] [Google Scholar]
  10. MOORE H. G., Jr, NYHUS L. M., KANER E. A., HARKINS H. N. Preliminary experimental observations of the nature, extent and repair of gunshot injuries of the aorta. West J Surg Obstet Gynecol. 1953 Oct;61(10):607–618. [PubMed] [Google Scholar]
  11. McNamara J. H., Brief D. K., Beasley W., Wright J. K. Vascular injury in Vietnam combat casualties: results of treatment at the 24th Evacuation Hospital 1 July 1967 to 12 August 1969. Ann Surg. 1973 Aug;178(2):143–147. doi: 10.1097/00000658-197308000-00006. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Monson D. O., Saletta J. D., Freeark R. J. Carotid vertebral trauma. J Trauma. 1969 Dec;9(12):987–999. doi: 10.1097/00005373-196912000-00003. [DOI] [PubMed] [Google Scholar]
  13. OCHSNER J. L., CRAWFORD E. S., DE BAKEY M. E. Injuries of the vena cava caused by external trauma. Surgery. 1961 Mar;49:397–405. [PubMed] [Google Scholar]
  14. Patman R. D., Thompson J. E. Fasciotomy in peripheral vascular surgery. Report of 164 patients. Arch Surg. 1970 Dec;101(6):663–672. doi: 10.1001/archsurg.1970.01340300019005. [DOI] [PubMed] [Google Scholar]
  15. Perry M. O., Thal E. R., Shires G. T. Management of arterial injuries. Ann Surg. 1971 Mar;173(3):403–408. doi: 10.1097/00000658-197103000-00011. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Rich N. M., Baugh J. H., Hughes C. W. Acute arterial injuries in Vietnam: 1,000 cases. J Trauma. 1970 May;10(5):359–369. doi: 10.1097/00005373-197005000-00001. [DOI] [PubMed] [Google Scholar]
  17. Rich N. M., Jarstfer B. S., Geer T. M. Popliteal artery repair failure: causes and possible prevention. J Cardiovasc Surg (Torino) 1974 May-Jun;15(3):340–351. [PubMed] [Google Scholar]
  18. Rich N. M., Metz C. W., Jr, Hutton J. E., Jr, Baugh J. H., Hughes C. W. Internal versus external fixation of fractures with concomitant vascular injuries in Vietnam. J Trauma. 1971 Jun;11(6):463–473. doi: 10.1097/00005373-197106000-00003. [DOI] [PubMed] [Google Scholar]
  19. Smith R. F., Elliot J. P., Hageman J. H., Szilagyi D. E., Xavier A. O. Acute penetrating arterial injuries of the neck and limbs. Arch Surg. 1974 Aug;109(2):198–205. doi: 10.1001/archsurg.1974.01360020060012. [DOI] [PubMed] [Google Scholar]
  20. Smith R. F., Szilagyi E., Elliott J. P., Jr Fracture of long bones with arterial injury due to blunt trauma. Principles of management. Arch Surg. 1969 Sep;99(3):315–324. doi: 10.1001/archsurg.1969.01340150023004. [DOI] [PubMed] [Google Scholar]
  21. Stone H. H., Oxford W. M., Austin J. T. Penetrating wounds of the abdominal aorta. South Med J. 1973 Dec;66(12):1351–1355. doi: 10.1097/00007611-197312000-00004. [DOI] [PubMed] [Google Scholar]
  22. Sturm J. T., Strate R. G., Mowlem A., Quattlebaum F. W., Perry J. F., Jr Blunt trauma to the subclavian artery. Surg Gynecol Obstet. 1974 Jun;138(6):915–918. [PubMed] [Google Scholar]
  23. Towne J. B., Neis D. D., Smith J. W. Thrombosis of the internal carotid artery following blunt cervical trauma. Arch Surg. 1972 Apr;104(4):565–568. doi: 10.1001/archsurg.1972.04180040179030. [DOI] [PubMed] [Google Scholar]
  24. Ward P. A., Suzuki A. Gunshot wound of the heart with peripheral embolization. A case report with review of literature. J Thorac Cardiovasc Surg. 1974 Sep;68(3):440–446. [PubMed] [Google Scholar]
  25. Yeo M. T., Domanskis E. J., Bartlett R. H., Gazzaniga A. B. Penetrating injuries of the abdominal aorta. Arch Surg. 1974 Jun;108(6):839–842. doi: 10.1001/archsurg.1974.01350300077018. [DOI] [PubMed] [Google Scholar]

Articles from Annals of Surgery are provided here courtesy of Lippincott, Williams, and Wilkins

RESOURCES