A unified approach to the torn thoracic aorta
In a 3-year experience treating 12 patients with blunt torn thoracic aorta, the repair technique was “clamp and sew” with an intraluminal graft in the initial six patients and partial left heart bypass using a centrifugal pump in the more recently treated six. Patients in the two groups were similar...
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| Veröffentlicht in: | The American journal of surgery 1991-11, Vol.162 (5), p.473-476 |
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| container_end_page | 476 |
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| container_issue | 5 |
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| container_title | The American journal of surgery |
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| creator | McCroskey, Brian L. Moore, Ernest E. Moore, Frederick A. Abernathy, Charles M. |
| description | In a 3-year experience treating 12 patients with blunt torn thoracic aorta, the repair technique was “clamp and sew” with an intraluminal graft in the initial six patients and partial left heart bypass using a centrifugal pump in the more recently treated six. Patients in the two groups were similar in regard to age, sex, and injury severity score. In the intraluminal graft group, graft insertion was abandoned for sutured anastomosis in two patients. Two patients sustained spinal cord ischemia, and two developed hypertension due to “pseudo-coarctation” syndrome. Because of these side effects related to the performance of intraluminal graft, partial left heart bypass was adopted as our routine procedure and was successful in all subsequent patients. Based on our experience and on reports in the current literature, we recommend left atrial-femoral bypass with the centrifugal pump for repair of the torn thoracic aorta. |
| doi_str_mv | 10.1016/0002-9610(91)90264-E |
| format | Article |
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Vascular system</subject><subject>Constriction</subject><subject>Coronary Artery Bypass</subject><subject>Female</subject><subject>Heart-Assist Devices</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Postoperative Complications</subject><subject>Time Factors</subject><subject>Wounds, Nonpenetrating - complications</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLxDAQgIMo67r6DxR6ENFDNdOkaXIRlmV9wIIXPYc0nbCRbrsmXcF_b2sXvXmaGeabBx8h50BvgYK4o5RmqRJArxXcKJoJni4PyBRkoVKQkh2S6S9yTE5ifO9LAM4mZAIqBwXZlKTzZNd457FKzHYbWmPXSdcm3Rr7EJo-aYOx3iamDZ05JUfO1BHP9nFG3h6Wr4undPXy-LyYr1LLpOhSTnnOECuQTJiclrawVnAqQRgwEimXlSyxzBh13DpRlZWj4IwrM5OD5JLNyNW4t__oY4ex0xsfLda1abDdRV1kvFBUsB7kI2hDG2NAp7fBb0z40kD1YEkPCvSgQCvQP5b0sh-72O_flRus_oZGLX3_ct830ZraBdNYH3-xnPNCFMP1-xHD3sWnx6Cj9dhYrHxA2-mq9f__8Q2cgoGb</recordid><startdate>19911101</startdate><enddate>19911101</enddate><creator>McCroskey, Brian L.</creator><creator>Moore, Ernest E.</creator><creator>Moore, Frederick A.</creator><creator>Abernathy, Charles M.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19911101</creationdate><title>A unified approach to the torn thoracic aorta</title><author>McCroskey, Brian L. ; Moore, Ernest E. ; Moore, Frederick A. ; Abernathy, Charles M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-40453eed1836a50bc7cc640816a1a8e048d8beb230f4cf6dbdf01fafb2a518483</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Adult</topic><topic>Aorta, Thoracic - injuries</topic><topic>Aorta, Thoracic - surgery</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Blood Vessel Prosthesis</topic><topic>Cardiology. Vascular system</topic><topic>Constriction</topic><topic>Coronary Artery Bypass</topic><topic>Female</topic><topic>Heart-Assist Devices</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Postoperative Complications</topic><topic>Time Factors</topic><topic>Wounds, Nonpenetrating - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McCroskey, Brian L.</creatorcontrib><creatorcontrib>Moore, Ernest E.</creatorcontrib><creatorcontrib>Moore, Frederick A.</creatorcontrib><creatorcontrib>Abernathy, Charles M.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McCroskey, Brian L.</au><au>Moore, Ernest E.</au><au>Moore, Frederick A.</au><au>Abernathy, Charles M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A unified approach to the torn thoracic aorta</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>1991-11-01</date><risdate>1991</risdate><volume>162</volume><issue>5</issue><spage>473</spage><epage>476</epage><pages>473-476</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><coden>AJSUAB</coden><abstract>In a 3-year experience treating 12 patients with blunt torn thoracic aorta, the repair technique was “clamp and sew” with an intraluminal graft in the initial six patients and partial left heart bypass using a centrifugal pump in the more recently treated six. 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| ispartof | The American journal of surgery, 1991-11, Vol.162 (5), p.473-476 |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adult Aorta, Thoracic - injuries Aorta, Thoracic - surgery Biological and medical sciences Blood and lymphatic vessels Blood Vessel Prosthesis Cardiology. Vascular system Constriction Coronary Artery Bypass Female Heart-Assist Devices Humans Male Medical sciences Postoperative Complications Time Factors Wounds, Nonpenetrating - complications |
| title | A unified approach to the torn thoracic aorta |
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