[Delayed surgery for traumatic rupture of the aortic arch with an isolated left vertebral artery; report of a case].
Although traumatic rupture of the thoracic aorta has been considered a surgical emergency, we report here an example of successful delayed surgery for acute traumatic rupture of the aortic arch with an isolated left vertebral artery in an 18-year-old woman. The patient was.admitted to the intensive care unit with hemothorax and, rib fractures, and a decision was made to treat the aortic injury conservatively until the patient was stabilized. She underwent surgery after 3 months of observation. After the isolated left vertebral artery had been anastomosed to the left carotid artery, total arch replacement was performed. Delayed surgery for aortic rupture as a treatment choice may be of benefit in selected cases of complex trauma.
Department of Cardiovascular Surgery, Tachikawa Medical Center, Nagaoka, Japan.
Kenji
K
Sakakibara
K
K
Yamamoto
T
T
Sugimoto
Y
Y
Iida
M
M
Satoh
T
T
Mishima
A
A
Uehara
S
S
Yoshii
S
S
Kasuya
D000293:Adolescent; D000714:Anastomosis, Surgical; D001013:Aorta, Thoracic / Q000293:injuries* / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D002339:Carotid Arteries / Q000601:surgery; D005260:Female; D006801:Humans; D012421:Rupture; D013997:Time Factors; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures; D014711:Vertebral Artery / Q000002:abnormalities* / Q000601:surgery