JTCS St. Jude Medical
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Appelbaum, A.
Right arrow Articles by Kirklin, J. W.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Appelbaum, A.
Right arrow Articles by Kirklin, J. W.

The Journal of Thoracic and Cardiovascular Surgery, Vol 71, 458-460, Copyright © 1976 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Surgical treatment for closed thoracic aortic injuries

A Appelbaum, RB Karp and JW Kirklin

Eighteen patients with acute aortic tear secondary to nonpenetrating thoracic trauma and seven with chronic tears have been operated upon. Of the patients with acute injury, 28% had normal chest x-ray on admission. The diagnosis of acute aortic tear was made by aortography in all patients. Two patients died from causes unrelated to the aortic injury. In the group of 18 patients in which some method of perfusing the distal aorta was used, two developed paraplegia; in the group of 7 treated with simple aortic cross-clamping none occurred. The average aortic cross-clamp time 69 and 23 minutes, respectively, and average blood administration 3,139 and 1,700 ml., respectively. We conclude that the diagnosis of acute aortic tear cannot be reliably made on clinical grounds, and that with properly trained personnel the method of choice is usually simple aortic cross-clamping during repair.


This article has been cited by other articles:


Home page
 Card Surg AdultHome page
T. G. Gleason and J. E. Bavaria
Trauma to the Great Vessels
Card. Surg. Adult, January 1, 2008; 3(2008): 1333 - 1354.
[Full Text]

Home page
 Card Surg AdultHome page
T. G. Gleason and J. E. Bavaria
Trauma to Great Vessels
Card. Surg. Adult, January 1, 2003; 2(2003): 1229 - 1250.
[Full Text]

Home page
 Ann. Thorac. Surg.Home page
T. Katsumata, A. Shinfeld, and S. Westaby
Operation for chronic traumatic aortic aneurysm: when and how?
Ann. Thorac. Surg., September 1, 1998; 66(3): 774 - 778.
[Abstract] [Full Text] [PDF]

Home page
 VASC ENDOVASCULAR SURGHome page
M. Buche, J.-C. Schoevaerdts, P. Jaumin, R. Dion, R. Ponlot, and C.-H. Chalant
Traumatic Rupture of the Thoracic Aorta: A Report of 27 Operated Cases
Vascular and Endovascular Surgery, November 1, 1989; 23(6): 479 - 484.
[Abstract] [PDF]

Home page
 VASC ENDOVASCULAR SURGHome page
F. Robicsek, P. Vajtai, T. N. Masters, and H. A. Wilkinson
Simple Method to Stabilize the Blood Pressure in the Aortic Arch During Distal Crossclamping. An Experimental Study
Vascular and Endovascular Surgery, November 1, 1985; 19(6): 390 - 398.
[Abstract] [PDF]

Home page
 VASC ENDOVASCULAR SURGHome page
J. R. Rees
Descending Thoracic Aortic Laceration: Report of Six Patients and a Review of the Surgical Treatment
Vascular and Endovascular Surgery, March 1, 1985; 19(2): 126 - 136.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1976 by The American Association for Thoracic Surgery.