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The Annals of Thoracic Surgery, Vol 39, 531-537, Copyright © 1985 by The Society of Thoracic Surgeons
JW Pate
Fifty-nine patients who had traumatic aortic rupture in the area of the
isthmus and were treated less than one week after injury were studied. Most
patients (N = 47) underwent repair using pump-oxygenator partial bypass; 7
had simple cross-clamping. Paraplegia developed in 4 during operation. One
patient died of a head injury after receiving heparin for bypass. The
experience with these patients and a critical review of the literature
indicate that the use of extracorporeal circulation and avoidance of
hypoxia and hypercapnia may decrease the probability of paraplegia. When
laparotomy preceded thoracotomy, there were no clearly deleterious effects
of heparinization.
ARTICLES
Traumatic rupture of the aorta: emergency operation
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