title: Repair of a penetrating aortic arch injury using deep hypothermic circulatory arrest and retrograde cerebral perfusion.
abstract: The traumatic rupture of the thoracic aorta is a severe and life-threatening entity. The incidence of penetrating trauma to the aortic arch is not known, because most patients die of haemorrhage even before they receive adequate treatment. Clinical signs of such injuries include external or internal haemorrhage, bruit, distal pulse deficit, neurological deficit and shock. We present a 42-year old female with a penetrating aortic arch injury successfully repaired using deep hypothermic circulatory arrest and retrograde cerebral perfusion.
authors.affiliation: 2nd Department of Adult Cardiac Surgery, Onassis Cardiac Surgery Center, Athens, Greece. gsamanidis@yahoo.gr
authors.forename: George
authors.initials: G
authors.lastname: Samanidis
authors.forename: Stergios
authors.initials: S
authors.lastname: Dimitriou
authors.forename: Athanasios
authors.initials: A
authors.lastname: Sakorafas
authors.forename: Mazen
authors.initials: M
authors.lastname: Khoury
mesh_terms: D000328:Adult; D001013:Aorta, Thoracic / Q000293:injuries* / Q000601:surgery; D001019:Aortic Rupture / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D002560:Cerebrovascular Circulation; D050792:Circulatory Arrest, Deep Hypothermia Induced / Q000379:methods*; D003937:Diagnosis, Differential; D004452:Echocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D061330:Multidetector Computed Tomography; D010477:Perfusion / Q000379:methods*; D013898:Thoracic Injuries / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D014656:Vascular Surgical Procedures / Q000379:methods*; D057772:Vascular System Injuries / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D014948:Wounds, Gunshot / Q000150:complications / Q000175:diagnosis / Q000601:surgery*