[Treatment of recent traumatic ruptures of aortic isthmus (author's transl)].
We recommand the following procedure: --positionment of the patient allowing the simultaneous approach of left pleural cavity and left femoral vessels. --aortic liberation far away of the isthm, in a diffuse hematoma. --medullar protection by femoro-femoral extra corporeal circulation. --recovery of aortic continuity either by direct suture or by interposition of an prosthetic tube, the sutures being largely supported by mediastinal cellular tissue. We have used this technique in 5 patients, with a good result in all cases.
D001013:Aorta, Thoracic / Q000601:surgery; D001019:Aortic Rupture / Q000601:surgery*; D003250:Constriction; D005112:Extracorporeal Circulation / Q000379:methods; D006801:Humans; D008722:Methods
Traitement des ruptures traumatiques récentes de l'isthme de l'aorte.