| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Annals of Thoracic Surgery, Vol 31, 305-309, Copyright © 1981 by The Society of Thoracic Surgeons
CW Akins, MJ Buckley, W Daggett, JB McIlduff and WG Austen
During a ten-year period, 44 patients were treated for acute traumatic
disruption of the thoracic aorta. Of the 44 patients, 21 had operative
repair within 48 hours of injury (Group 1); 14 patients had operative
therapy electively delayed for 2 to 79 days (Group 2); 5 had operative
therapy electively delayed indefinitely (Group 3); 2 had immediate
operative repair when a delayed diagnosis was made at 21 and 56 days,
respectively (Group 4); 1 patient died during angiography and 1 refused
operation (Group 5). Mortality was as follows: Group 1, 24%; Group 2, 14%
Group 3, 0; Group 4, 100%; and Group 5, 100%. All operative deaths occurred
in the subgroup of 23 patients in whom left heart bypass was utilized.
Immediate operative intervention with a heparinized shunt is preferable as
soon as the diagnosis of thoracic aortic disruption has been established,
but elective delay of operation in patients with severe concomitant
injuries can be achieved safely with beta blockade and antihypertensive
therapy.
ARTICLES
Acute traumatic disruption of the thoracic aorta: a ten-year experience
This article has been cited by other articles:
|
|
 |
|
  T. G. Gleason and J. E. Bavaria Trauma to the Great Vessels Card. Surg. Adult, January 1, 2008; 3(2008): 1333 - 1354. [Full Text]
|
|
|
|
 |
|
 The effect of changing presentation and management on the outcome of blunt rupture of the thoracic aorta. J. Thorac. Cardiovasc. Surg., March 1, 2006; 131(3): 594 - 600.
|
|
|
|
|
|
H. Rousseau, C. Dambrin, B. Marcheix, L. Richeux, M. Mazerolles, C. Cron, A. Watkinson, A. Mugniot, P. Soula, V. Chabbert, et al. Acute traumatic aortic rupture: A comparison of surgical and stent-graft repair J. Thorac. Cardiovasc. Surg., May 1, 2005; 129(5): 1050 - 1055. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Pacini, E. Angeli, R. Fattori, L. Lovato, G. Rocchi, L. Di Marco, M. Bergonzini, G. Grillone, and R. Di Bartolomeo Traumatic rupture of the thoracic aorta: Ten years of delayed management J. Thorac. Cardiovasc. Surg., April 1, 2005; 129(4): 880 - 884. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. A Lancey, A T. Pezzella, and D. A Phillips Factors Affecting Early Exsanguination and Death in Blunt Thoracic Aortic Trauma Asian Cardiovasc Thorac Ann, September 1, 2004; 12(3): 202 - 207. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Doss, J. Balzer, S. Martens, J. P. Wood, G. Wimmer-Greinecker, H.-G. Fieguth, and A. Moritz Surgical versus endovascular treatment of acute thoracic aortic rupture: a single-center experience Ann. Thorac. Surg., November 1, 2003; 76(5): 1465 - 1470. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. G. Gleason and J. E. Bavaria Trauma to Great Vessels Card. Surg. Adult, January 1, 2003; 2(2003): 1229 - 1250. [Full Text]
|
|
|
|
 |
|
 M. Lachat, T. Pfammatter, H. Witzke, E. Bernard, U. Wolfensberger, A. Kunzli, and M. Turina Acute traumatic aortic rupture: early stent-graft repair Eur. J. Cardiothorac. Surg., June 1, 2002; 21(6): 959 - 963. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. H. Holmes IV, R. D. Bloch, R. A. Hall, Y. M. Carter, and R. C. Karmy-Jones Natural history of traumatic rupture of the thoracic aorta managed nonoperatively: a longitudinal analysis Ann. Thorac. Surg., April 1, 2002; 73(4): 1149 - 1154. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Langanay, J.-P. Verhoye, H. Corbineau, A. Agnino, T. Derieux, P. Menestret, Y. Logeais, and A. Leguerrier Surgical treatment of acute traumatic rupture of the thoracic aorta a timing reappraisal? Eur. J. Cardiothorac. Surg., February 1, 2002; 21(2): 282 - 287. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. T. Gurbuz, D. S. Weiman, and J. W. Pate Traumatic injury to the thoracic aorta Ann. Thorac. Surg., September 1, 1999; 68(3): 1116 - 1117. [Full Text] [PDF]
|
|
|
|
|
|
R. Fattori, F. Celletti, B. Descovich, G. Napoli, P. Bertaccini, R. Galli, G. Gavelli, and A. Pierangeli Evolution of post-traumatic aortic aneurysm in the subacute phase: magnetic resonance imaging follow-up as a support of the surgical timing Eur. J. Cardiothorac. Surg., May 1, 1999; 13(5): 582 - 587. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Attar, M. G. Cardarelli, S. W. Downing, A. Rodriguez, D. C. Wallace, R. S. West, and J. S. McLaughlin Traumatic aortic rupture: recent outcome with regard to neurologic deficit Ann. Thorac. Surg., April 1, 1999; 67(4): 959 - 964. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. Rousseau, P. Soula, P. Perreault, B. Bui, B. J. d'Othee, P. Massabuau, G. Meites, P. Concina, M. Mazerolles, F. Joffre, et al. Delayed Treatment of Traumatic Rupture of the Thoracic Aorta With Endoluminal Covered Stent Circulation, February 2, 1999; 99(4): 498 - 504. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. W. Pate Modern management of traumatic rupture of the aortic isthmus Ann. Thorac. Surg., August 1, 1998; 66(2): 611 - 612. [Full Text] [PDF]
|
|
|
|
|
|
R. Galli, D. Pacini, R. Di Bartolomeo, R. Fattori, B. Turinetto, G. Grillone, and A. Pierangeli Surgical Indications and Timing of Repair of Traumatic Ruptures of the Thoracic Aorta Ann. Thorac. Surg., February 1, 1998; 65(2): 461 - 464. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Fattori, F. Celletti, P. Bertaccini, R. Galli, D. Pacini, A. Pierangeli, and G. Gavelli Delayed Surgery of Traumatic Aortic Rupture: Role of Magnetic Resonance Imaging Circulation, December 1, 1996; 94(11): 2865 - 2870. [Abstract] [Full Text]
|
|
|
|
|
|
G. D. Trachiotis, J. E. Sell, G. D. Pearson, G. R. Martin, and F. M. Midgley Traumatic Thoracic Aortic Rupture in the Pediatric Patient Ann. Thorac. Surg., September 1, 1996; 62(3): 724 - 731. [Abstract] [Full Text]
|
|
|
|
|
|
P. Vignon, P. Gueret, J.-M. Vedrinne, P. Lagrange, E. Cornu, O. Abrieu, H. Gastinne, J. Bensaid, and R. M. Lang Role of Transesophageal Echocardiography in the Diagnosis and Management of Traumatic Aortic Disruption Circulation, November 15, 1995; 92(10): 2959 - 2968. [Abstract] [Full Text]
|
|
|
|
|
|
W. Piccione Jr., I. N. Hamilton, and H. Najafi Intentional delayed repair of acute dissection of the ascending aorta complicated by stroke J. Thorac. Cardiovasc. Surg., April 1, 1995; 109(4): 807 - 808. [Full Text]
|
|
|
|
 |
|
 M. D. Smith, J. M. Cassidy, S. Souther, E. J. Morris, P. M. Sapin, S. B. Johnson, and P. A. Kearney Transesophageal Echocardiography in the Diagnosis of Traumatic Rupture of the Aorta N. Engl. J. Med., February 9, 1995; 332(6): 356 - 362. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. D. Madden, J. H. Cilley JR, R. C. Camishion, R. K. Spence, J. B. Alexander, S. E. Ross, and A. J. DelRossi Traumatic Disruptions of the Aorta: Management of 20 Cases Vascular and Endovascular Surgery, July 1, 1990; 24(6): 419 - 423. [Abstract] [PDF]
|
|
|
|
|
|
M. Buche, J.-C. Schoevaerdts, P. Jaumin, R. Dion, R. Ponlot, and C.-H. Chalant Traumatic Rupture of the Thoracic Aorta: A Report of 27 Operated Cases Vascular and Endovascular Surgery, November 1, 1989; 23(6): 479 - 484. [Abstract] [PDF]
|
|
|
|
|
|
R. S. Cuasay Traumatic Disruption of Aorta with Rupture into Right Pleural Cavity Vascular and Endovascular Surgery, July 1, 1985; 19(4): 207 - 211. [Abstract] [PDF]
|
|
|
|
|
|
J. R. Rees Descending Thoracic Aortic Laceration: Report of Six Patients and a Review of the Surgical Treatment Vascular and Endovascular Surgery, March 1, 1985; 19(2): 126 - 136. [Abstract] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
