Surgical treatment strategy for traumatic aortic injury
10.3760/cma.j.issn.1001-4497.2020.02.003
- VernacularTitle:创伤性主动脉损伤的外科治疗策略
- Author:
Suwei CHEN
1
;
Yongliang ZHONG
;
Chengnan LI
;
Yipeng GE
;
Zhiyu QIAO
;
Ruidong QI
;
Haiou HU
;
Junming ZHU
;
Lizhong SUN
Author Information
1. 首都医科大学附属北京安贞医院心外科 100029
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2020;36(2):79-82
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the surgical treatment strategy for aortic injury caused by trauma.Methods:From January 2009 to January 2018, 34 patients with TAI were treated in Beijing Anzhen Hospital. 10 had hypertension. 23 cases were males. There were 31 cases caused by traffic accidents, 2 cases were fall injuries, and 1 case was bruise. 9 cases were thoracic aortic pseudoaneurysm, 6 cases were thoracic aorta, and 19 cases were aortic dissection. 29 patients underwent TEVAR and 5 patients underwent OR (2 patients with type A aortic dissection undergoing Bentall + Sun's procedure, 1 patient with type B aortic dissection and 2 patients with thoracic aortic pseudoaneurysm undergoing stented elephant trunk procedure).Results:The follow-up time was (45.09±23.10) months. The mean age of patients undergoing OR or TEVAR was (44.80±20.57) years old, (45.93±11.01) years old; the mean operation time was(403.20±30.30) minutes, (105.72±27.76) minutes; the mean hospitalization (19.00±6.04), (5.76±3.08) days. There were no deaths in the two groups. 2 patients uundergoing TEVAR had left upper limb numbness.Conclusion:The treatment of patients with TAI should be based on the general condition, the classification of injury, the involving regions and anatomical features to choose different treatments. In addition, the long-term prognosis of patients remains to be determined.
