Management of injuries of the thoracic and abdominal aorta

Stiles, Quentin R.; Cohlmia, G S; Smith, J H; Dunn, James T.; Yellin, Albert E.

doi:10.1016/0002-9610(85)90022-4

Cited by 34 publications

(5 citation statements)

References 15 publications

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“…Recently the concept of deliberate delayed repair has been reported in the literature, 14,15 and many recent publications report the possibility of delaying the surgery. 8,[16][17][18][19][20] It stands to reason that immediate surgical repair of aortic injury is mandatory if a significant hemothorax or a pseudocoarctation syndrome indicates impending free rupture.…”

Section: Discussionmentioning

confidence: 99%

Acute traumatic rupture of the thoracic aorta: Delayed treatment with endoluminal covered stent. A report of two cases

Perreault¹,

Soula²,

Rousseau³

et al. 1998

Journal of Vascular Surgery

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Section: Discussionmentioning

confidence: 99%

Acute traumatic rupture of the thoracic aorta: Delayed treatment with endoluminal covered stent. A report of two cases

Perreault¹,

Soula²,

Rousseau³

et al. 1998

Journal of Vascular Surgery

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“…Many victims of penetrating cardiac injury were young and otherwise in good health and they could withstand relatively long periods of hypoperfusion without irreversible brain, renal or cardiac damage. After initial improvement in their haemodynamic state, surgery should be contemplated and may be life saving.-Penetrating trauma to~e great vessels [13] as long as cross-damp time is restricted to 30 minutes (15]. This may be facilitated by the intravenous administration of nitroprusside which can maintain proximal aortic systolic pressure < 100 mmHg.…”

Section: Discussionmentioning

confidence: 99%

Militancy Trauma : Penetrating and Nonpenetrating Cardiac Injury

Garg

et al. 1997

Medical Journal Armed Forces India

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Two hundred and eighty patients with serious chest injuries were treated at a service hospital during a period of 41 months. Out of 9 patients who suffered cardiac trauma S had penetrating cardiac injuries, 2 had penetrating pericardial injury and 2 patients had myocardial contusions. Myocardial contusions simulated myocardial infarction. All patients except one had polytrauma, associated injury to the lung or intra-abdominal organs. Early evacuation, resuscitation, high index of suspicion for cardiac injury and prompt surgical intervention were the keys to successful management in these patients. Thoracotomy was performed to repair the myocardial perforation and lacerated lung injuries. Associated infra-abdominal injuries were managed with laparotomy. Two patients died due to lack of cardiopulmonary bypass facilities and resistant cardiac arrhythmias. Seven patients had uneventful recovery.

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“…The most common blunt aortic injury is a complete or partial disruption of the proximal descending aorta at the level of the ligamentum arteriosum. 10 Hurst et al 1 " have suggested that the vessel wall has an inherent weakness at this point. The rugby player in this case report had a partial tear of the descending aorta just distal to the ligamentum arteriosum.…”

Section: Major Vessel Rupturesmentioning

confidence: 98%

“…The patient may remain stable as long as pressure within the tear does not exceed a bursting point and the tissues are not otherwise disrupted. 10 Complications of great-vessel injury include airway obstruction, mediastinal shift, rapid blood loss, and cardiac tamponade. 19 These are medical and surgical emergencies.…”

Section: Physiology Of Aortic Rupturementioning

confidence: 99%