Hybrid management of aortic rupture and lung failure: pumpless extracorporeal lung assist and endovascular stent-graft.
Acute traumatic aortic rupture represents a potentially life-threatening situation. Because of the extremely high early mortality, emergency surgical repair used to be the preferred method of treatment. This group of patients usually is seen with a wide variety of injuries and comorbid conditions, all of which have a major impact on surgical outcome. We present an alternative hybrid approach that combines on-site placement of pumpless extracorporeal lung assist, subsequent patient transfer, and endovascular stent-graft implantation. This procedure may be a potentially useful strategy to reduce the comorbidity and the mortality of both lesions.
Schmid
Franz X
FX
Department of Cardiothoracic and Vascular Surgery, University of Regensburg, Germany. franz-xaver.schmid@klinik.uni-regensburg.de
Philipp
Alois
A
Link
Johann
J
Zimmermann
Markus
M
Birnbaum
Dietrich E
DE
D000328:Adult; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D004867:Equipment Design; D015199:Extracorporeal Membrane Oxygenation / Q000295:instrumentation*; D006801:Humans; D008297:Male; D012131:Respiratory Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*; D015607:Stents; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000601:surgery*