Median sternotomy and extended left anterior thoracotomy for repair of traumatic aortic transection with ruptured right atrium.
A 22-year-old man presented with traumatic aortic transtion associated with rupture of the right atrium and underwent urgent median sternotomy to repair the right atrium. A T-shaped extended left anterior thoracotomy was performed, and ruptured descending thoracic aorta was repaired under total bypass. A Y-shaped connector was inserted in the arterial catheter to allow cannulation of both ascending aorta and femoral arteries. A 4-cm long Hemoshield graft was used to repair the aortic transection. The patient made a full recovery and was discharged 13 days after the accident.
Kang
Dong
D
Department of Cardiothoracic Surgery, John Hunter Hospital, New South Wales, Australia. kangdong@hotmail.com
Thomson
Duncan S
DS
Doi
Kiyoshi
K
James
Allen N
AN
D000063:Accidents, Traffic; D000328:Adult; D001013:Aorta, Thoracic / Q000293:injuries* / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D006325:Heart Atria / Q000293:injuries*; D006335:Heart Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D013249:Sternum / Q000601:surgery*; D013908:Thoracotomy / Q000379:methods*