title: [Surgical treatment of traumatic aortic rupture].
abstract: This report focuses on 3 cases of traumatic aortic dissection or rupture at the isthmus. We selected 3 different methods of treatment. In the 1st case, we performed an emergency operation with graft replacement of the proximal descending aorta. In the 2nd case, we performed elective graft replacement 5 months after the rupture under careful blood pressure control. Thirdly, we performed emergency stent grafting at the isthmus, the rupture site. All cases were successfully treated, but it remains difficult to select the method of treatment for multisystem disorder. Our current strategy for traumatic rupture at the isthmus is immediate stent grafting. It will also be a very useful procedure for multisystem trauma.
authors.affiliation: Department of Cardiovascular Surgery, Tsuyama Chuo Hospital, Tsuyama, Japan.
authors.forename: Takahiko
authors.initials: T
authors.lastname: Yamasawa
authors.forename: Mitsuaki
authors.initials: M
authors.lastname: Matsumoto
authors.forename: Yoji
authors.initials: Y
authors.lastname: Kubo
authors.forename: Reiko
authors.initials: R
authors.lastname: Kemmochi
authors.forename: Naoki
authors.initials: N
authors.lastname: Morimoto
authors.forename: Shingo
authors.initials: S
authors.lastname: Hagioka
authors.forename: Junichi
authors.initials: J
authors.lastname: Sugiyama
authors.forename: Hideharu
authors.initials: H
authors.lastname: Hagiya
authors.forename: Mikizo
authors.initials: M
authors.lastname: Nakai
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D001019:Aortic Rupture / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D004630:Emergencies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma; D015607:Stents