title: [Graft replacement under percutaneous cardiopulmonary system for traumatic aortic rupture with multiple injuries].
abstract: We report a case of traumatic aortic rupture with multiple injuries. A 20-year-old man was transferred to our hospital. He was suffering from traumatic thoracic aortic rupture with multiple injuries (femoral fracture, pelvis fracture and so 4th) due to a traffic accident. Enhanced computed tomography revealed leakage from the aortic isthmus and hematoma in the surrounding area. Emergency operation was performed. The left 4th intercostal thoracotomy was performed and a lacerated foramen was observed across the lesser curvature of the aortic isthmus. The affected site was replaced by a prosthetic graft under percutaneous cardiopulmonary system. He was treated with open fixation of the right femur 11 days after the 1st operation. The postoperative recovery was generally uneventful and he was discharged on the 51st hospital day.
authors.affiliation: Division of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Maebashi, Japan.
authors.forename: Shuichi
authors.initials: S
authors.lastname: Okada
authors.forename: Masahiko
authors.initials: M
authors.lastname: Ezure
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Kaneko
authors.forename: Makoto
authors.initials: M
authors.lastname: Anno
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Hasegawa
authors.forename: Chieri
authors.initials: C
authors.lastname: Kimura
authors.forename: Shuichi
authors.initials: S
authors.lastname: Okonogi
authors.forename: Hitomi
authors.initials: H
authors.lastname: Takihara
authors.forename: Wataru
authors.initials: W
authors.lastname: Tatsuishi
authors.forename: Kazuma
authors.initials: K
authors.lastname: Date
authors.forename: Tomoki
authors.initials: T
authors.lastname: Tamura
authors.forename: Noritsugu
authors.initials: N
authors.lastname: Naito
mesh_terms: D000063:Accidents, Traffic; D001019:Aortic Rupture / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D009049:Motorcycles; D009104:Multiple Trauma / Q000601:surgery*; D055815:Young Adult