Successful Surgical Treatment in Four Patients with Blunt Traumatic Rupture of the Thoracic Aorta.
10.4326/jjcvs.28.399
- VernacularTitle:鈍的外傷性胸部大動脈破裂の４救命例
- Author:
Yoshinobu Hattori
;
Tadashi Iriyama
;
Kouji Watanabe
;
Kouji Negi
;
Mitsuru Yamashita
;
Isao Takeda
;
Hiroshi Sugimura
;
Shuichiro Sugimura
- Publication Type:Journal Article
- Keywords:
IV-DSA
- From:Japanese Journal of Cardiovascular Surgery
1999;28(6):399-402
- CountryJapan
- Language:Japanese
-
Abstract:
Urgent surgical repairs were successfully performed in four patients with blunt traumatic ruptures of the thoracic aorta. All 4 patients were involved in traffic accidents and had ruptures immediately distal to the aortic isthmus. The diagnoses were achieved by IV-DSA in case 1, by IV-DSA and enhanced CT in case 2 and by enhanced helical CT in cases 3 and 4. Intraoperative transesophageal echocardiography was performed in case 4. Operations were accomplished with the aid of temporary shunt in case 1, pulmonary-femoral artery bypass in case 2 and partial left heart bypass in cases 3 and 4. Prosthetic graft interposition was performed in cases 1, 3 and 4 and end-to-end aortic anastomosis was performed in case 2. There was no postoperative paraplegia in any patient. Early diagnosis and urgent surgical repair are important in treating blunt traumatic rupture of the thoracic aorta. Enhanced helical CT and transesophageal echocardiography are useful for the diagnosis of this type of injury.
