Open AccessThe Treatment of Acute Traumatic Rupture of the Aorta
Author(s) -
Marvin M. Kirsh,
Douglas M. Behrendt,
Mark B. Orringer,
Otto Gago,
Laman A. Gray,
Lawrence J. Mills,
Joseph F. Walter,
Herbert Sloan
Publication year - 1976
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-197609000-00008
Subject(s) - medicine , aortography , blunt , extracorporeal circulation , surgery , chest injury , lesion , shunt (medical) , aorta , radiology
Forty-three patients with aortic rupture secondardy to blunt trauma have been treated at the University of Micigan within the past 10 years with an overall salvage rate of 70%. The diagnosis should be suspected in anyone who has sustained a high speed decelerating injury, if the chest roentgenogram shows media-stinal widening, whether or not there is hypertension of the upper extremities; systolic murmur, or external evidence of chest injury. Aortography should be employed to confirm the diagnosis and to determine the site or sites of rupture. Repair of the lesion should be undertaken as soon as possible and takes priority in most instances over associated injuries. Repair in almost all cases can be accomplished safely and quickly using a bypass shunt without the aid of extracorporeal circulation.