Clamp and Sew Technique without Distal Perfusion for the Management of Traumatic Descending Thoracic Aortic Rupture.
- Author:
Yang Ki SEOK
1
;
Joon Yong CHO
;
Jong Tae LEE
;
Gun Jik KIM
;
Il PARK
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital. jycho@knu.ac.kr
- Publication Type:Original Article
- Keywords:
Aorta, Surgery;
Trauma;
Aortic rupture;
Aortic clamping
- MeSH:
Abdomen;
Aortic Rupture*;
Hemoperitoneum;
Hospital Mortality;
Humans;
Medical Records;
Operative Time;
Perfusion*;
Retrospective Studies
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2007;40(8):558-563
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Traumatic aortic rupture is a highly fatal condition in which a patient's outcome is strongly affected by other associated injuries. Selection of the appropriate surgical timing and the management plan is important. MATERIAL AND METHOD: The medical records of the 15 traumatic descending thoracic aortic rupture patients who underwent the clamp & sew technique were retrospectively reviewed and checked for the presence of associated injuries and the postoperative course. RESULT: The hospital mortality was 6.67% (one patient). This patient died intraoperatively and the cause of the death was delayed hemoperitoneum. The mean operative time and aortic clamp time were 231+/-53.1 and 13.1+/-5.3 minutes, respectively. One patient complained the bowel obstructive symptoms at postoperative 10 days. We found the mechanical bowel obstruction on computed tomography of the abdomen, and segmental bowel resection was done. CONCLUSION: Although several surgical strategies may be appropriate for managing traumatic aortic rupture, the clamp & sew technique is a safe and effective method for the treatment of traumatic aortic injury.
