The successful surgical repair of a traumatic transection of the descending thoracic aorta: report of a case.
An 18-year-old man involved in a traffic accident presented with a left-sided hemothorax. After undergoing left chest tube drainage, he showed temporary stable hemodynamics for 7 h. Later, an emergency left thoracotomy was performed because of abrupt hemorrhagic shock. The intima and media of the descending thoracic aorta was completely transected, and a tube graft was successfully interposed with a simple aortic clamp in 47 min. The patient was eventually discharged from the hospital with no sequelae, such as paraplegia.
Saito
A
A
Second Department of Surgery, Niigata Municipal Hospital, Japan.
Yamazaki
Y
Y
Aoki
E
E
Sakurai
Y
Y
D000063:Accidents, Traffic; D000293:Adolescent; D001013:Aorta, Thoracic / Q000293:injuries* / Q000601:surgery*; D006801:Humans; D008297:Male; D012421:Rupture; D014947:Wounds and Injuries / Q000601:surgery