Abstract
Between 1957 and 1983, 58 patients were treated in our institution for traumatic rupture of the thoracic aorta. Seven patients had acute ruptures and 51 had traumatic aneurysms.
Surgical correction of the lesion was obtained by means of left femoral artery bypass in 17 patients, femoral artery-femoral vein bypass in five patients, and external shunt in three patients. After 1975, simple aortic cross-clamping was used in 33 patients. There was one death 1 week after a procedure for ventricular fibrillation. Paraplegia occurred in two patients, and both cases were correlated with hypotensive episodes.
From this experience and that of others, it was determined that an aortogram should be performed in all patients suspected of having highspeed deceleration trauma, and that such patients should undergo surgical repair as soon as possible after diagnosis.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- ADAMS H. D., VAN GEERTRUYDEN H. H. Neurologic complications of aortic surgery. Ann Surg. 1956 Oct;144(4):574–610. doi: 10.1097/00000658-195610000-00005. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Appelbaum A., Karp R. B., Kirklin J. W. Surgical treatment for closed thoracic aortic injuries. J Thorac Cardiovasc Surg. 1976 Mar;71(3):458–460. [PubMed] [Google Scholar]
- Bennett D. E., Cherry J. K. The natural history of traumatic aneurysms of the aorta. Surgery. 1967 Apr;61(4):516–523. [PubMed] [Google Scholar]
- Crawford E. S., Rubio P. A. Reappraisal of adjuncts to avoid ischemia in the treatment of aneurysms of descending thoracic aorta. J Thorac Cardiovasc Surg. 1973 Nov;66(5):693–704. [PubMed] [Google Scholar]
- Finkelmeier B. A., Mentzer R. M., Jr, Kaiser D. L., Tegtmeyer C. J., Nolan S. P. Chronic traumatic thoracic aneurysm. Influence of operative treatment on natural history: an analysis of reported cases, 1950-1980. J Thorac Cardiovasc Surg. 1982 Aug;84(2):257–266. [PubMed] [Google Scholar]
- Greendyke R. M. Traumatic rupture of aorta; special reference to automobile accidents. JAMA. 1966 Feb 14;195(7):527–530. [PubMed] [Google Scholar]
- Gundry S. R., Williams S., Burney R. E., Cho K. J., Mackenzie J. R. Indications for aortography in blunt thoracic trauma: a reassessment. J Trauma. 1982 Aug;22(8):664–671. doi: 10.1097/00005373-198208000-00003. [DOI] [PubMed] [Google Scholar]
- Kirshner R., Seltzer S., D'Orsi C., DeWeese J. A. Upper rib fractures and mediastinal widening: indications for aortography. Ann Thorac Surg. 1983 Apr;35(4):450–454. doi: 10.1016/s0003-4975(10)61600-1. [DOI] [PubMed] [Google Scholar]
- Najafi H., Javid H., Hunter J., Serry C., Monson D. Descending aortic aneurysmectomy without adjuncts to avoid ischemia. Ann Thorac Surg. 1980 Oct;30(4):326–335. doi: 10.1016/s0003-4975(10)61269-6. [DOI] [PubMed] [Google Scholar]
- PARMLEY L. F., MATTINGLY T. W., MANION W. C., JAHNKE E. J., Jr Nonpenetrating traumatic injury of the aorta. Circulation. 1958 Jun;17(6):1086–1101. doi: 10.1161/01.cir.17.6.1086. [DOI] [PubMed] [Google Scholar]
- Plume S., DeWeese J. A. Traumatic rupture of the thoracic aorta. Arch Surg. 1979 Mar;114(3):240–243. doi: 10.1001/archsurg.1979.01370270014002. [DOI] [PubMed] [Google Scholar]
- Seltzer S. E., D'Orsi C., Kirshner R., DeWeese J. A. Traumatic aortic rupture: plain radiographic findings. AJR Am J Roentgenol. 1981 Nov;137(5):1011–1014. doi: 10.2214/ajr.137.5.1011. [DOI] [PubMed] [Google Scholar]
- Woodring J. H., Dillon M. L. Radiographic manifestations of mediastinal hemorrhage from blunt chest trauma. Ann Thorac Surg. 1984 Feb;37(2):171–178. doi: 10.1016/s0003-4975(10)60311-6. [DOI] [PubMed] [Google Scholar]