[Traumatic segment III aneurysm of the thoracic aorta: surgical risk, technique, early and late results].
Aneurysmectomy was performed in 37 patients with a traumatic aneurysm the aorta in segment III. 34 "cross-clamping" without bypass was used, 6 after preliminary transposition of the subclavian artery. 3 patients died after surgery, two of whom were more than 70 years old. 2 patients developed a paraparesis, which has in the meantime considerably improved. Hesitation to operate is justified only in older asymtomatic patients at high cardiac risk. Cross-clamping is preferable to more elaborate procedures. Preliminary transposition of the subclavian artery simplifies the proximal anastomosis and may contribute to spinal-cord protection.
Dienemann
H
H
Chirurgische Klinik und Poliklinik der Universität, Klinikum Grosshadern, München.
Lauterjung
K L
KL
Liewald
F
F
Frankl
A
A
Kirchdorfer
B
B
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D001013:Aorta, Thoracic / Q000293:injuries* / Q000601:surgery; D001014:Aortic Aneurysm / Q000401:mortality / Q000601:surgery*; D001019:Aortic Rupture / Q000401:mortality / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality