title: [Traumatic aortic injury].
abstract: Optimal timing of surgical repair for traumatic aortic injury (TAI) is still controversial. We have experienced 3 cases of TAI. The 1st one suffered from severe multisystem trauma in addition to TAI, so we performed graft replacement of the proximal descending aorta electively 31 days after the injury. The 2nd one had massive pleural effusion on admission and we performed urgent operation. They recovered uneventfully. The last one died of aortic re-rupture during anesthetic induction despite attempting emergent operation. In patients with serious multisystem trauma besides TAI, surgical repair can be delayed as long as there are no signs of on-going rupture and/or bleeding, however close observation, serial computed tomography( CT) check-ups and strict control of blood pressure are needed.
authors.affiliation: Department of Cardiovascular Surgery, Yokkaichi Municipal Hospital, Yokkaichi, Japan.
authors.forename: Yasumoto
authors.initials: Y
authors.lastname: Matsumura
authors.forename: Akinori
authors.initials: A
authors.lastname: Tamenishi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Okamoto
mesh_terms: D000058:Accidental Falls; D000063:Accidents, Traffic; D000293:Adolescent; D000369:Aged, 80 and over; D001013:Aorta, Thoracic / Q000293:injuries* / Q000601:surgery; D001019:Aortic Rupture / Q000601:surgery; D001807:Blood Vessel Prosthesis; D004630:Emergencies; D005260:Female; D006801:Humans; D008875:Middle Aged; D009104:Multiple Trauma