[Extracorporeal lung support and endovascular stent in traumatic aortic rupture and severe lung failure].
Blunt thoracic injury in association with aortic rupture represents a life-threatening situation. Surgical repair used to be the preferred method of treatment. Because most patients are multiple trauma patients including head injuries, bone fractures and respiratory failure, urgent surgical procedures portend excessively high morbidity and mortality rates. Delay in operative management bears the risk of exsanguinating hemorrhage, secondary complications, prolonged hospital stay with increased costs. We present here an alternative treatment protocol including pumpless extracorporal lung assist and endovascular aortic stent graft placement in a 20-year old traffic accident victim. This procedure may be an especially useful treatment option in managing patients with complex lung and aortic pathology primarily not suitable for transportation or surgery.
Schmid
F X
FX
Klinik für Herz-, Thorax- und herznahe Gefässchirurgie, Klinikum der Universität Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg. franz-xaver.schmid@klinik.uni-regensburg.de
Philipp
A
A
Faltermeier
H
H
Schädinger
U
U
Link
J
J
Birnbaum
D
D
D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy; D000800:Angioplasty, Balloon; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000628:therapy; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000628:therapy*; D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation; D003288:Contusions / Q000000981:diagnostic imaging / Q000628:therapy; D004630:Emergencies; D006801:Humans; D055370:Lung Injury; D008297:Male; D010107:Oxygenators, Membrane; D012131:Respiratory Insufficiency / Q000000981:diagnostic imaging / Q000628:therapy*; D015607:Stents; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000628:therapy*