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Ann Thorac Surg 2002;74:2191-2192
© 2002 The Society of Thoracic Surgeons

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Case report

Median sternotomy and extended left anterior thoracotomy for repair of traumatic aortic transection with ruptured right atrium

^a Department of Cardiothoracic Surgery, John Hunter Hospital, New South Wales, Australia

Accepted for publication July 12, 2002.

* Address reprint requests to Dr Kang, Department of Cardiothoracic Surgery, John Hunter Hospital, Locked Bag 1, Hunter Region Mail Centre, NSW2310, Australia.
e-mail: kangdong{at}hotmail.com

A 22-year-old man presented with traumatic aortic transtion associated with rupture of the right atrium and underwent urgent median sternotomy to repair the right atrium. A T-shaped extended left anterior thoracotomy was performed, and ruptured descending thoracic aorta was repaired under total bypass. A Y-shaped connector was inserted in the arterial catheter to allow cannulation of both ascending aorta and femoral arteries. A 4-cm long Hemoshield graft was used to repair the aortic transection. The patient made a full recovery and was discharged 13 days after the accident.