title: Median sternotomy and extended left anterior thoracotomy for repair of traumatic aortic transection with ruptured right atrium.
abstract: 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.
authors.affiliation: Department of Cardiothoracic Surgery, John Hunter Hospital, New South Wales, Australia. kangdong@hotmail.com
authors.forename: Dong
authors.initials: D
authors.lastname: Kang
authors.forename: Duncan S
authors.initials: DS
authors.lastname: Thomson
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Doi
authors.forename: Allen N
authors.initials: AN
authors.lastname: James
mesh_terms: 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*