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Ann Thorac Surg 1987;44:257-259
© 1987 The Society of Thoracic Surgeons

Articles

Acute Traumatic Rupture of the Aorta: Repair by Simple Aortic Cross-Clamping

Manuel J. Antunes, M.D., Ph.D. (Med.)*

Division of Cardiothoracic Surgery, Johannesburg Hospital and University of the Witwatersrand, Johannesburg, South Africa

Accepted for publication February 6, 1987.

* Address reprint requests to Prof. Antunes, Division of Cardiothoracic Surgery, University of the Witwatersrand, Medical School, York Rd, Parktown 2193, Johannesburg, South Africa.

This report describes the techniques used in 16 patients for repair of acute traumatic rupture of the aorta. Direct aortic cross-clamping (13 to 27 minutes) was used without additional methods of spinal cord protection. Direct suture was possible in (56%) of the 9 patients with partial rupture of the aorta but in only 1 (14%) of the 7 patients with complete disruption. In the remaining patients, the repair was carried out by interposing Gore-Tex patches (4 patients) or open tubular grafts (6 patients) using a simplified method, which is described. The 2 deaths, 1 intraoperative and 1 postoperative, were unrelated to the technique. There were no additional perioperative complications. Direct aortic cross-clamping and repair by direct suture or open tubular graft, as described, greatly simplify the correction of acute traumatic rupture of the aorta, and their use is strongly recommended.




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