Emergent management of penetrating trauma of aortic arch in a countryside hospital.
- Author:
Dong-Mei DI
1
;
Xiao-Ying ZHANG
;
Huo-Jun JING
Author Information
1. Department of Cardiovascular Surgery, Third Affiliated Hospital of Suzhou University, Changzhou 213003.
- Publication Type:Case Reports
- MeSH:
Adult;
Aorta, Thoracic;
injuries;
surgery;
Humans;
Male;
Wounds, Penetrating;
surgery
- From:
Chinese Journal of Traumatology
2011;14(2):114-116
- CountryChina
- Language:English
-
Abstract:
According to the literature, only a small proportion of occurrences regarding penetrating trauma of the thoracic aorta can be treated successfully. Herein we reported our experience of a recent rescue of such a patient in a countryside hospital lacking advanced instruments for cardiopulmonary bypass operations. A 20-year-old male was admitted for a penetrating injury with disrupted innominate vein and right common carotid artery together with a 1.5-cm laceration on the aortic arch between the innominate artery and the left common carotid artery. The patient was successfully saved without the implementation of cardiopulmonary bypass. Presentation and management in this case were discussed.