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Abstract
Twenty-seven patients underwent surgical repair for nonpenetrating injuries of the
thoracic aorta. Emergency operation was performed in 19 patients with acute aortic
injury and there were 12 survivors. Left heart bypass (LHB), external shunts, and
simple aortic cross-clamping were methods employed during repair. All operative deaths
occurred in the left heart bypass group. Morbidity, hospital stay, operative time,
and blood loss all were markedly less in patients repaired with an external shunt
or simple cross-clamping. Systemic heparinization related adversely to mortality and
morbidity. Eight patients had repair of chronic post-traumatic descending aortic aneurysms.
One of these had previous repair elsewhere with paraplegia and subsequent mycotic
aneurysm at the graft repair site. He presented to us with massive hemoptysis. Surgical
correction in the chronic group was performed using either left heart bypass, external
shunt, or simple aortic cross-clamp with graft interposition. The only death occurred
in a patient repaired on left heart bypass.
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Article info
Footnotes
☆Supported in part by the American Heart Association, East Central Ohio Chapter, grant No. 4318-A1.
☆☆Presented at the Thirty-fourth Annual Meeting of the Central Surgical Association, Buffalo, N. Y., March 3–5 1977.
Identification
Copyright
© 1977 Published by Elsevier Inc.
