Early surgical repair in traumatic rupture of the thoracic aorta. Report of 9 cases and review of the current concepts

A. Saylam, J. Q. Melo, A. Ahmad, R. D. Chapman, J. A. Wood, A. Starr

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

Ten patients with rupture of the aortic isthmus due to blunt trauma were subjected to early surgical intervention with nine survivors (mortality 10%). A high degree of suspicion is necessary in order to make an early diagnosis. Left atrium (LA) to femoral artery (FA) bypass using systemic heparinization was used in all cases and bypass instituted before the aorta was prepared for clamping. Advantages of LA to FA bypass are as follows: (a) Technically easy; (b) Better control of patient during preparation of the aorta for clamping; (c) Provides the surgeon with more time to perform a safe operation.

Original languageEnglish (US)
Pages (from-to)295-302
Number of pages8
JournalJournal of Cardiovascular Surgery
Volume21
Issue number3
StatePublished - Dec 1 1980

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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    Saylam, A., Melo, J. Q., Ahmad, A., Chapman, R. D., Wood, J. A., & Starr, A. (1980). Early surgical repair in traumatic rupture of the thoracic aorta. Report of 9 cases and review of the current concepts. Journal of Cardiovascular Surgery, 21(3), 295-302.