[A case report of emergency surgical repair of traumatic transection of thoracic descending aorta].
The injury to the thoracic aorta caused by blunt chest trauma is often fatal. This case is 22-year-old male suffering from transection of the thoracic descending aorta caused by traffic accident. He was transported to our emergency room by an ambulance 15 minutes after the accident. Hundred fifty minutes after arrival to the hospital, we were rush to bring him to the operation theater suspecting serious injury of the thoracic organs in association with left hemothorax. The left standard thoracotomy disclosed the injury of the thoracic descending aorta. Simple cross clamp was applied to the thoracic descending aorta distal to the left subclavian artery for 20 minutes. Completely transected aorta was reapproximated using monofilament 3-0 polypropylene sutures with running manner. He tolerated the procedure well without any complication. His postoperative course was uneventful. He was followed up at the orthopedic department for associated hip fracture thereafter.
Department of Thoracic and Cardiovascular Surgery, Kyorin University School of Medicine.
K
K
Noguchi
K
K
Sudo
J
J
Kodama
T
T
Unno
N
N
Hayashi
M
M
Tadokoro
J
J
Kokubo
K
K
Ikeda
A
A
Mizuno
H
H
Tanaka
D000063:Accidents, Traffic; D000328:Adult; D001013:Aorta, Thoracic / Q000293:injuries* / Q000601:surgery*; D004630:Emergencies; D006801:Humans; D008297:Male