Acute traumatic rupture of the thoracic aorta. A comparison of techniques.
Twenty-eight patients were treated for acute blunt thoracic aortic rupture at Groote Schuur Hospital between January 1984 and March 1994. Aortic arch ruptures occurred in 2 patients and were successfully repaired by means of hypothermic circulatory arrest. Descending aortic ruptures were repaired more safely by insertion of an interposition graft as opposed to direct suture reapproximation, and with the aid of partial heparinless bypass as opposed to simple aortic cross-clamping.
Von Oppell
U O
UO
Department of Cardiothoracic Surgery, Groote Schuur Hospital, University of Cape Town.
Brink
J
J
Hewitson
J
J
Pinho
P
P
Zilla
P
P
D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D000368:Aged; D001013:Aorta, Thoracic / Q000293:injuries* / Q000601:surgery; D001019:Aortic Rupture / Q000401:mortality / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D003250:Constriction; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010243:Paralysis / Q000209:etiology; D010347:Patient Care Planning; D011183:Postoperative Complications; D013019:South Africa / Q000453:epidemiology; D013536:Suture Techniques; D013997:Time Factors; D014949:Wounds, Nonpenetrating / Q000401:mortality / Q000601:surgery*