Primary Repair of Traumatic Aortic Disruption

Lawrence R. McBride, Stephen Tidik, Joseph C. Stothert, Hendrick B. Barner, George C. Kaiser, Vallee L. Willman, D. Glenn Pennington

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Abstract

From 1979 to 1985, 22 patients (18 male) underwent repair of acute traumatic rupture of the aorta. Ages ranged from 15 to 75 years (mean, 35 years). All patients sustained deceleration injuries in automobile accidents. The majority had injuries to multiple systems and evidence of mediastinal widening on routine chest roentgenograms. Aortography confirmed transection in the descending thoracic aorta near the ligamentum arteriosum in 20. Primary repair was achieved in 15 patients; it was performed in the last 10 consecutive patients. Seven patients had repair with a prosthetic graft. Survival was 82%. Postoperative morbidity usually was related to associated injuries. Primary repair of aortic transection can be accomplished in most patients without the use of prosthetic material.

Original languageEnglish (US)
Pages (from-to)65-67
Number of pages3
JournalAnnals of Thoracic Surgery
Volume43
Issue number1
DOIs
StatePublished - Jan 1 1987

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ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

McBride, L. R., Tidik, S., Stothert, J. C., Barner, H. B., Kaiser, G. C., Willman, V. L., & Pennington, D. G. (1987). Primary Repair of Traumatic Aortic Disruption. Annals of Thoracic Surgery, 43(1), 65-67. https://doi.org/10.1016/S0003-4975(10)60168-3