[Traumatic rupture of the isthmus of the thoracic aorta (midterm results in a series of 15 cases)].
The authors present a series of 15 cases of traumatic disruption of the aortic isthmus. There were 9 cases of acute rupture and 6 of chronic rupture. All the patients have been operated on. Different technics was used to protect the viscera during aortic cross-clamping, partial E.C.C. in 9 cases, clamp-repair technic in 4 cases and a GOTT shunt in 2 cases. 4 patients died in the first thirty days (3 acute and 1 chronic). 2 cases of paraplegia was observed. All the patients have been reviewed after a mean follow-up of 36 months and remain well but one who is still paraplegic. Surgical repair is mandatory in acute and aortic disruption with a great attention to the associated injuries.
Ndiaye
M
M
Service de Chirurgie cardiaque, Hôpital Erasme, Bruxelles.
Le Clerc
J L
JL
De Smet
J M
JM
Goldstein
J P
JP
Joris
M
M
Primo
G
G
D000063:Accidents, Traffic; D000208:Acute Disease; D000328:Adult; D001013:Aorta, Thoracic / Q000293:injuries*; D001019:Aortic Rupture / Q000175:diagnosis / Q000209:etiology* / Q000401:mortality / Q000601:surgery; D002908:Chronic Disease; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D010264:Paraplegia / Q000453:epidemiology / Q000209:etiology
Rupture traumatique de l'isthme de l'aorte thoracique (résultats à moyen terme sur une série de quinze cas).