Hybrid Approach for Treatment of Multiple Traumatic Injuries of the Heart, Aorta, and Abdominal Organs
10.5090/kjtcs.2019.52.5.372
- Author:
Seon Hee KIM
1
;
Seunghwan SONG
;
Ho Seong CHO
;
Chan Yong PARK
Author Information
1. Department of Trauma and Surgical Critical Care, Pusan National University Hospital Trauma Center, Pusan National University School of Medicine and Biomedical Research Institute, Busan, Korea.
- Publication Type:Case Report
- Keywords:
Trauma;
Hybrid operation;
Endovascular procedure/stent;
Resuscitation;
Shock
- MeSH:
Aorta;
Aorta, Thoracic;
Cardiac Tamponade;
Heart;
Hemoperitoneum;
Hemorrhage;
Humans;
Laparotomy;
Middle Aged;
Resuscitation;
Rupture;
Shock;
Stents;
Sternotomy;
Trauma Centers;
Ultrasonography
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2019;52(5):372-375
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 55-year-old man was admitted to the trauma center after a car accident. Cardiac tamponade, traumatic aortic injury, and hemoperitoneum were diagnosed by ultrasonography. The trauma surgeon, cardiac surgeon, and interventional radiologist discussed the prioritization of interventions. Multi-detector computed tomography was carried out first to determine the severity and extent of the injuries, followed by exploratory sternotomy to repair a left auricle rupture. A damage control laparotomy was then performed to control mesenteric bleeding. Lastly, a descending thoracic aorta injury was treated by endovascular stenting. These procedures were performed in the hybrid-angio room. The patient was discharged on postoperative day 135, without complications.
