Acute Abdominal Aortic Injury: An Analysis of Operative and Postoperative Management

Robert C. Lim, Donald D. Trunkey, F. William Blaisdell

    Research output: Contribution to journalArticle

    39 Scopus citations

    Abstract

    Thirty-two acute abdominal aortic injuries were treated in the last five years. The overall mortality was 63%. Fifteen injuries involved the infrarenal portion of the aorta (mortality, 53%) and eight injuries involved the diaphragmatic or celiac portion of the aorta (mortality, 50%). There were nine injuries to the suprarenal or visceral aorta; the mortality was the highest in this group (89%). A thoracoabdominal approach with occlusion of the descending thoracic aorta and mobilization of the abdominal viscera from left to the midline to expose the aorta is employed. The use of fresh whole blood, fresh frozen plasma, and platelet concentrates are important adjuncts to the resuscitation when massive blood replacement is necessary.

    Original languageEnglish (US)
    Pages (from-to)706-711
    Number of pages6
    JournalArchives of Surgery
    Volume109
    Issue number5
    DOIs
    StatePublished - Nov 1974

    ASJC Scopus subject areas

    • Surgery

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