Abstract |
Of six cases of thoracic aortic rupture, four were acute and two were chronic. In the four acute cases, suspicious findings were an appreciably widened mediastinum, upper-extremity hypertension, change in pulse amplitude, or, more hopefully, generalized hypertension, left intraclavicular systolic murmur, and loss of posterior aortic shadow on chest x-ray film. Preoperative angiography was essential. Three of four acute aortic transections (one with aortic arch involvement) had complicated associated injuries that necessitated delay in aortic surgical repair; antihypertensive drugs, including propranolol hydrochloride, were used for support in the interval. Perfusion by femoral vein-femoral artery cardiopulmonary bypass was used. All four patients were operated on successfully without residual complications. Two patients with chronic conditions were recommended for surgery; one was successfully operated on, using aorto-aortic bypass. Another patient, 27 years postinjury, refused operation. Postoperative arteriograms were performed for baseline observations of graft and suture-line characteristics in all cases.
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Authors | C H Dart Jr, H E Braitman |
Journal | Archives of surgery (Chicago, Ill. : 1960)
(Arch Surg)
Vol. 111
Issue 6
Pg. 697-702
(Jun 1976)
ISSN: 0004-0010 [Print] United States |
PMID | 1275702
(Publication Type: Journal Article)
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Topics |
- Acute Disease
- Adolescent
- Adult
- Aorta, Thoracic
(injuries, surgery)
- Aortic Aneurysm
(diagnosis)
- Aortic Rupture
(diagnosis, surgery)
- Aortography
- Cardiopulmonary Bypass
- Chronic Disease
- Female
- Humans
- Male
- Middle Aged
- Radiography, Thoracic
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