title: [Treatment of traumatic rupture of the thoracic aorta].
abstract: BACKGROUND
  Interest for traumatic thoracic aorta rupture stems from the fact that its number continually increases, and it can be rapidly lethal.
  
  
  OBJECTIVE
  The aim of this study is to present early and long term results as well as experiences of our team in surgical treatment of traumatic thoracic aorta rupture.
  
  
  METHODS
  Our retrospective study includes 12 patients with traumatic thoracic aorta rupture treated between 1985 and 2007.There were 10 male and two female patients of average age 30.75 years (18-74).
  
  
  RESULTS
  In six cases, primary diagnosis was established during the first seven days days after trauma, while in 6 more than one month later. In 11 cases, classical open surgical procedure was performed, while endovascular treatment was used in one patient. Three (25%) patients died, while two (16.6%) had paraplegia. Nine patinets (75%) were trated without complications, and are in good condition after a mean follow-up period of 9.7 years (from one month to 22 years).
  
  
  CONCLUSIONS
  Surgical treatment requires spinal cord protection to prevent paraplegia, using cardiopulmonary by-pass (three of our cases) or external heparin-bonded shunts (five of our cases). Cardiopulmonary by-pass is followed with lower incidence of paraplegia, however it is not such a good solution for patients with polytrauma because of haemorrhage. The endovascular repair is a safe and feasible procedure in the acute phase, especilly because of traumatic shock and polytrauma which contributes to higher mortality rate after open surgery. On the other hand, in chronic postrauamatic aortic rupture, open surgical treatment is connected with a lower mortality rate and good long-term results. There have been no published data about long-term results of endovascular treatment in the chronic phase.
authors.forename: Lazar
authors.initials: L
authors.lastname: Davidović
authors.forename: Miroslav
authors.initials: M
authors.lastname: Marković
authors.forename: Momcilo
authors.initials: M
authors.lastname: Colić
authors.forename: Nikola
authors.initials: N
authors.lastname: Ilić
authors.forename: Igor
authors.initials: I
authors.lastname: Koncar
authors.forename: Slobodan
authors.initials: S
authors.lastname: Svetković
authors.forename: Radomir
authors.initials: R
authors.lastname: Sindjelić
authors.forename: Dejan
authors.initials: D
authors.lastname: Marković
mesh_terms: D000328:Adult; D000368:Aged; D001013:Aorta, Thoracic / Q000293:injuries*; D001019:Aortic Rupture / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D055815:Young Adult