A Case of Acute Descending Aortic Rupture Associated with Splenic Rupture and Pelvic Fracture.
10.4326/jjcvs.26.388
- VernacularTitle:ひ破裂，骨盤骨折を合併した外傷性下行大動脈破裂の１治験例
- Author:
Yuji Hanafusa
;
Noboru Murata
;
Atsushi Ozawa
;
Hirosi Ohta
;
Makoto Funami
;
Kouichi Inoue
;
Toshihiro Takaba
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1997;26(6):388-391
- CountryJapan
- Language:Japanese
-
Abstract:
A 24-year-old woman had been injured in an automobile accident. The chest X-ray showed widening of the mediastinum and computed tomography showed mediastinal hematoma around the aortic arch. Aortic rupture was suspected, so we performed aortography, which revealed pseudoaneurysm of the descending aorta. Moreover, she also had splenic rupture and pelvic fracture. She underwent an emergency operation 4 hours after the accident. Medial tear of the descending aorta was replaced with a graft under temporary bypass without heparin. Simultaneously, splenectomy was performed. Her postoperative course was uneventful. We consider that temporary bypass without heparin is a useful method during repair of the descending aortic rupture due to trauma.
