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KMID : 0387519930030010131
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Journal of Maryknoll Hospital
1993 Volume.3 No. 1 p.131 ~ p.136
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Traumatic Aneurysm of Descending Thoracic Aorta (A case report)
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임승현
이광선/김영삼/김훈/한영숙
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Abstract
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Traumatic aneurysm of the thoracic aorta is commonly caused by blunt injury to the chest.
Because aneurysmal rupture is probable within the next few days or weeks after trauma, prompt surgical repair is required.
We experienced a case of traumatic aneurysm of descending thoracic aorta by an automobile accident. The patient was 23-year-old-male with a traumatic dissecting aortic aneurysm(6x12cm) on the descending thoracic aorta just distal to the origin of
the
left subclavian artery.
Exposure was obtained through a left posterolateral thoracotomy incision in the fourth intercostal space and then partial femoro-femoral cardiopulmonary bypass was established.
Aortic cross-clamping was placed on the aortic arch just proximal to left suclavian artery, distal portion of the aneurysmal sac and left subclavian artery. After the aneurysmal sac was opened longitudinally, bleeding intercostal orifices were
oversewn.
The aortic intima which was completely transected was seen in the aneurysmal sac. The aneurysmal sac was repaired with interposition of Dacron vascular graft and aortic cross-clamping period lasted for 100 minutes.
Postoperative bleeding and vocal cord paralysis were complicated, but bleeding was controlled by reoperation and vocal cord paralysis was improved.
Follow up was continued for 4 months and postoperative course was uneventful.
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