[Blunt aortic injury/choosing appropriate time for surgery].
Based on our experience in a cohort of 39 patients and also on the results of post-mortem findings obtained from the department of forensic medicine in Hamburg, we prefer to perform emergency surgery only in cases of aortic aneurysms over 6 cm in diameter, in cases of hemorrhage, or in coarctation syndrome. Because of the high incidence of concomitant multiorgan injuries, surgery for aortic lesions with only radiologic symptoms is not performed until a period of 2-8 weeks has elapsed since the injury, according to the degree of stabilisation. With this strategy, the mortality in surgical management of aortic injuries in our department is about 15%.
Kalmar
P
P
Abt. für Thorax-, Herz- und Gefässchirurgie, Universitäts-Krankenhaus Eppendorf, Hamburg, Bundesrepublik Deutschland.
Otto
C
C
Steinkraus
V
V
D001014:Aortic Aneurysm / Q000401:mortality / Q000601:surgery*; D001019:Aortic Rupture / Q000401:mortality / Q000601:surgery*; D006801:Humans; D009104:Multiple Trauma / Q000401:mortality / Q000601:surgery*; D011183:Postoperative Complications / Q000401:mortality; D012307:Risk Factors; D015996:Survival Rate; D014949:Wounds, Nonpenetrating / Q000401:mortality / Q000601:surgery*
Stumpfe Aortenverletzung/Wahl des richtigen Operationszeitpunktes.