A Successfully Operated Case of Traumatic Aortic Disruption with Multisystem Trauma
10.4326/jjcvs.35.343
- VernacularTitle:多発外傷を伴った外傷性大動脈損傷の１手術救命例
- Author:
Hiroyuki Watanabe
;
Kayoko Kobayashi
;
Takuto Maruyama
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2006;35(6):343-346
- CountryJapan
- Language:Japanese
-
Abstract:
A 63-year-old man suffered from multisystem trauma including pelvic bone fracture and lung contusion caused by a traffic accident. Chest CT revealed mediastinum and periaortic hematoma. Because of hemorrhagic complications, a emergency operation was avoided, and conservative therapy was decided on. Though his blood pressure was controlled strictly, re-bleeding appeared. An urgent operation was performed 4 days after the injury. Under partial cardiopulmonary bypass, the aortic isthmus disruption was resected and replaced with an artificial graft. The postoperative course was uneventful. In cases of traumatic aortic disruption with multisystem trauma, the delayed operation is more common than urgent operation. However, there is always the possibility of rupture. It is extremely important to appropriately judge the timing of the operation.
