Hybrid debranching technique for treatment of traumatic aortic arch rupture combined with pseudoaneurysm

VernacularTitle:杂交Debranching技术治疗创伤性主动脉弓破裂合并假性动脉瘤
Author: Haining ZHOU ; Yongheng ZHANG ; Bo YANG ; Hongtao XIA ; Yunhe ZHU ; Xingsheng MA ; Jianping LIU
Publication Type:Journal Article
Keywords: Aortic rupture; Aneurysm,false; Hybridization technique
From: Chinese Journal of Trauma 2014;30(9):877-880
CountryChina
Language:Chinese
Abstract: Objective To assess the effect of hybrid debranching technique in treatment of patients with traumatic aortic arch rupture combined with pseudoaneurysm.Methods Clinical data of 3 patients with traumatic aortic arch rupture combined with pseudoaneurysm repaired using debranching technique from June 2011 to June 2013 were analyzed to determine their clinical features and treatment options.Hypersound or computed tomography angiography (CTA) was performed to confirm the therapeutic effects at postoperative 1 week,3,6,and 12 months as well as annually thereafter.Results All patients underwent operation uneventfully.Operation time was 6.8-10.5 hours (mean,7.6 hours) and intraoperative blood loss was 250-450 ml (mean,310 ml).Length of stay was 26-45 days (mean,32 days).There were no deaths at the 0.5-2 years of follow-up.Hypersound or CTA revealed no leakage of contrast medium after operation.Conclusion Hybrid debranching technique greatly reduces surgical trauma and provides satisfactory outcome and good function recovery.