Acute Abdominal Aortic Injury

An Analysis of Operative and Postoperative Management

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

Research output: Contribution to journalArticle

39 Citations (Scopus)

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 - 1974
Externally publishedYes

Fingerprint

Abdominal Injuries
Aorta
Mortality
Thoracic Aorta
Wounds and Injuries
Viscera
Resuscitation
Abdomen
Blood Platelets

ASJC Scopus subject areas

  • Surgery

Cite this

Acute Abdominal Aortic Injury : An Analysis of Operative and Postoperative Management. / Lim, Robert C.; Trunkey, Donald; Blaisdell, F. William.

In: Archives of Surgery, Vol. 109, No. 5, 1974, p. 706-711.

Research output: Contribution to journalArticle

Lim, Robert C. ; Trunkey, Donald ; Blaisdell, F. William. / Acute Abdominal Aortic Injury : An Analysis of Operative and Postoperative Management. In: Archives of Surgery. 1974 ; Vol. 109, No. 5. pp. 706-711.
@article{40001b5fe738440286eabe9a3c567fc3,
title = "Acute Abdominal Aortic Injury: An Analysis of Operative and Postoperative Management",
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.",
author = "Lim, {Robert C.} and Donald Trunkey and Blaisdell, {F. William}",
year = "1974",
doi = "10.1001/archsurg.1974.01360050100021",
language = "English (US)",
volume = "109",
pages = "706--711",
journal = "JAMA Surgery",
issn = "2168-6254",
publisher = "American Medical Association",
number = "5",

}

TY - JOUR

T1 - Acute Abdominal Aortic Injury

T2 - An Analysis of Operative and Postoperative Management

AU - Lim, Robert C.

AU - Trunkey, Donald

AU - Blaisdell, F. William

PY - 1974

Y1 - 1974

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=0016226914&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0016226914&partnerID=8YFLogxK

U2 - 10.1001/archsurg.1974.01360050100021

DO - 10.1001/archsurg.1974.01360050100021

M3 - Article

VL - 109

SP - 706

EP - 711

JO - JAMA Surgery

JF - JAMA Surgery

SN - 2168-6254

IS - 5

ER -