A Successfully Operated Case of Traumatic Aortic Disruption with Multisystem Trauma / 日本心臓血管外科学会雑誌
Japanese Journal of Cardiovascular Surgery
; : 343-346, 2006.
Article
em Ja
| WPRIM
| ID: wpr-367214
Biblioteca responsável:
WPRO
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.
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Índice:
WPRIM
Idioma:
Ja
Revista:
Japanese Journal of Cardiovascular Surgery
Ano de publicação:
2006
Tipo de documento:
Article