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Ann Thorac Surg 2002;73:1618-1620
© 2002 The Society of Thoracic Surgeons

Case report

Hybrid management of aortic rupture and lung failure: pumpless extracorporeal lung assist and endovascular stent-graft

Franz X. Schmid, MD*a, Alois Philipp, MDa, Johann Link, MDb, Markus Zimmermann, MDc, Dietrich E. Birnbaum, MDa

a Department of Cardiothoracic and Vascular Surgery, University of Regensburg, Regensburg, Germany
b Department of Diagnostic Radiology, University of Regensburg, Regensburg, Germany
c Department of Anaesthesiology, University of Regensburg, Regensburg, Germany

Accepted for publication October 17, 2001.

* Address reprint requests to Dr Schmid, Department of Cardiothoracic and Vascular Surgery, University of Regensburg, Franz-Josef-Strauss-Allee 11, D-93053 Regensburg, Germany
e-mail: franz-xaver.schmid{at}klinik.uni-regensburg.de

Acute traumatic aortic rupture represents a potentially life-threatening situation. Because of the extremely high early mortality, emergency surgical repair used to be the preferred method of treatment. This group of patients usually is seen with a wide variety of injuries and comorbid conditions, all of which have a major impact on surgical outcome. We present an alternative hybrid approach that combines on-site placement of pumpless extracorporeal lung assist, subsequent patient transfer, and endovascular stent-graft implantation. This procedure may be a potentially useful strategy to reduce the comorbidity and the mortality of both lesions.




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