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Traumatic Aortic Transection: Repair Using Left Atrial to Femoral Bypass
Author(s) -
BENCKART DANIEL H.,
MAGOVERN GEORGE J.,
LIEBLER GEORGE A.,
PARK SANG B.,
BURKHOLDER JOHN A.,
MAHER THOMAS D.,
MAGOVERN GEORGE J.
Publication year - 1989
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.1989.tb00255.x
Subject(s) - medicine , cardiology , aortic repair , surgery , aorta
A bstract Traumatic aortic transaction is a life‐threatening surgical emergency. Therapy must be directed at rapid repair and prevention of postoperative complications, the most serious being paraplegia. Controversy over the optimal method of repair exists‐specifically whether the use of a shunt modifies the outcome. Our series of 17 patients using left atrial to femoral bypass with the Biomedicus pump will be discussed. Preoperative preparation and operative technique will be outlined. Mortality in this series was 18%, the incidence of paraplegia was 0.