RESUMO
Blunt trauma to the chest with aortic tear is not an unusual sequela of rapid deceleration. Multiple aortic tears in a viable patient are unusual. A case is reported where multiple aortic lacerations were repaired without the use of prosthetic material. The use of a primary suture repair of aortic injuries is advocated for simple aortic tears not extending proximally to the arch whether they be single or multiple.
Assuntos
Aorta Torácica/lesões , Aorta Torácica/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Técnicas de Sutura , Traumatismos Torácicos/complicações , Ferimentos não Penetrantes/complicaçõesRESUMO
From 1979 to 1985, 22 patients (18 male) underwent repair of acute traumatic rupture of the aorta. Ages ranged from 15 to 75 years (mean, 35 years). All patients sustained deceleration injuries in automobile accidents. The majority had injuries to multiple systems and evidence of mediastinal widening on routine chest roentgenograms. Aortography confirmed transection in the descending thoracic aorta near the ligamentum arteriosum in 20. Primary repair was achieved in 15 patients; it was performed in the last 10 consecutive patients. Seven patients had repair with a prosthetic graft. Survival was 82%. Postoperative morbidity usually was related to associated injuries. Primary repair of aortic transection can be accomplished in most patients without the use of prosthetic material.
