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KMID : 0364020070400080558
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Korean Journal of Thoracic and Cardiovascular Surgery
2007 Volume.40 No. 8 p.558 ~ p.563
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Clamp and Sew Technique without Distal Perfusion for the Management of Traumatic Descending Thoracic Aortic Rupture
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Seok Yang-Ki
Cho Joon-Yong
Lee Jong-Tae
Kim Gun-Jik
Park Il
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Abstract
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Background:Traumatic aortic rupture is a highly fatal condition in which a patient’s outcome is strongly affected by other associated injuries. Selection of the appropriate surgical timing and the management plan is important.
Material and Method:The medical records of the 15 traumatic descending thoracic aortic rupture patients who underwent the clamp & sew technique were retrospectively reviewed and checked for the presence of associated injuries and the postoperative course.
Result:The hospital mortality was 6.67% (one patient). This patient died intraoperatively and the cause of the death was delayed hemoperitoneum. The mean operative time and aortic clamp time were 231±53.1 and 13.1±5.3 minutes, respectively. One patient complained the bowel obstructive symptoms at postoperative 10 days. We found the mechanical bowel obstruction on computed tomography of the abdomen, and segmental bowel resection was done.
Conclusion:Although several surgical strategies may be appropriate for managing traumatic aortic rupture, the clamp & sew technique is a safe and effective method for the treatment of traumatic aortic injury.
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KEYWORD
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Aorta Surgery, Trauma, Aortic rupture, Aortic clamping
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