KMID : 1164620190520050372
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Korean Journal of Thoracic and Cardiovascular Surgery 2019 Volume.52 No. 5 p.372 ~ p.375
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Hybrid Approach for Treatment of Multiple Traumatic Injuries of the Heart, Aorta, and Abdominal Organs
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Kim Seon-Hee
Song Seung-Hwan Cho Ho-Seong Park Chan-Yong
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Abstract
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A 55-year-old man was admitted to the trauma center after a car accident. Cardiac tamponade, traumatic aortic injury, and hemoperitoneum were diagnosed by ultrasonography. The trauma surgeon, cardiac surgeon, and interventional radiologist discussed the prioritization of interventions. Multi-detector computed tomography was carried out first to determine the severity and extent of the injuries, followed by exploratory sternotomy to repair a left auricle rupture. A damage control laparotomy was then performed to control mesenteric bleeding. Lastly, a descending thoracic aorta injury was treated by endovascular stenting. These procedures were performed in the hybrid-angio room. The patient was discharged on postoperative day 135, without complications.
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KEYWORD
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Trauma, Hybrid operation, Endovascular procedure/stent, Resuscitation, Shock
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