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Ann Thorac Surg 1983;35:672-675
© 1983 The Society of Thoracic Surgeons

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Articles

Primary Repair of Acute Traumatic Aortic Disruption

From the University of Michigan Medical Center, Section of Thoracic Surgery, Ann Arbor, MI

Accepted for publication June 23, 1982.

^* Address reprint requests to Dr. Orringer, Section of Thoracic Surgery, C-7079 Outpatient Building, Ann Arbor, MI 48109

A technique that facilitates primary repair of acute traumatic aortic disruption is described. With this technique, primary repair has been possible in 5 of our most recent 9 patients with this injury, whereas all 46 of our previous patients were treated by insertion of a prosthetic graft. Primary repair of traumatic aortic disruption is feasible in many more patients than we initially thought possible and should always be considered, particularly in the young patient with a healthy, elastic aorta that is only partially transected.

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