Browse > Article

Clamp and Sew Technique without Distal Perfusion for the Management of Traumatic Descending Thoracic Aortic Rupture  

Seok, Yang-Ki (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital)
Lee, Jong-Tae (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital)
Kim, Gun-Jik (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital)
Park, Il (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital)
Cho, Joon-Yong (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital)
Publication Information
Journal of Chest Surgery / v.40, no.8, 2007 , pp. 558-563 More about this Journal
Abstract
Background: Traumatic aortic rupture is a highly fatal condition in which a patient's outcome is strongly affected by other associated injuries. Selection of the appropriate surgical timing and the management plan is important. Material and Method: The medical records of the 15 traumatic descending thoracic aortic rupture patients who underwent the clamp & sew technique were retrospectively reviewed and checked for the presence of associated injuries and the postoperative course. Result: The hospital mortality was 6.07% (one patient). This patient died intra-operatively and the cause of the death was delayed hemoperitoneum. The mean operative time and aortic clamp time were $231{\pm}53.1$ and $13.1{\pm}5.3$ minutes, respectively. One patient complained the bowel obstructive symptoms at postoperative 10 days. We found the mechanical bowel obstruction on computed tomography of the abdomen, and segmental bowel resection was done. Conclusion: Although several surgical strategies may be appropriate for managing traumatic aortic rupture, the clamp & sew technique is a safe and effective method for the treatment of traumatic aortic injury.
Keywords
Aorta Surgery; Trauma; Aortic rupture; Aortic clamping;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Gleason TG, Bavaria JE. Trauma to great vessels. In: Cohn LH, Edmunds LH Jr. Cardiac surgery in the adult. 2nd ed. New York: McGraw-Hill Co. 2003;1229-49
2 Hahm SY, Choo SJ, Song H, Lee JW, Song MG. Surgical treatment of traumatic rupture of thoracic aorta. Korean J Thorac Cardiovasc Surg 2004;37:774-80
3 Tatou E, Steinmets E, Jazayeri S, Benhamiche B, Brenot R, David M. Surgical outcome of traumatic rupture of the thoracic aorta. Ann Thorac Surg 2000;69:70-3   PUBMED
4 Fabian TC, Davis KA, Gavant ML, et al. Prospective study of blunt aortic injury: Helical CT is diagnostic and antihypertensive therapy reduces rupture. Ann Surg 1998;227:666-77   DOI   ScienceOn
5 Langanay T, Verhoye JP, Corbineau H, et al. Surgical treatment of acute traumatic rupture of the thoracic aorta a timing reappraisal? Eur J Cardiothorac Surg 2002;21:282-7   DOI   ScienceOn
6 Sweeney MS, Young DJ, Frazier OH, Adams PR, Kapusta MO, Macris MP. Traumatic aortic transactions: eight-year experience with the 'Clamp-Sew' technique. Ann Thorac Surg 1997;64:384-9   DOI   PUBMED   ScienceOn
7 Pacini D, Angeli E, Fattori R, et al. Traumatic rupture of the thoracic aorta: ten years of delayed management. J Thorac Cardiovasc Surg 2005;129:880-4   DOI   ScienceOn
8 Ng CJ, Chen JC, Wang LJ, et al. Diagnostic value of the helical CT scan for traumatic aortic injury: correlation with mortality and early rupture. J Emerg Med 2006;30:277-82   DOI   ScienceOn
9 Nzewi O, Slight RD, Zamvar V. Management of blunt thoracic aortic injury. Eur J Vasc Endovasc Surg 2006;31:18-27   DOI   ScienceOn
10 Kwon CC, Gill IS, Fallen WF, et al. Delayed operative intervention in the management of traumatic descending thoracic aortic rupture. Ann Thorac Surg 2002;74:S1888-91   DOI   ScienceOn
11 Mattox KL, Holzman M, Pickard LR, Beall AC Jr, DeBakey ME. Clamp/repair: a safe technique for treatment of blunt injury to the descending thoracic aorta. Ann Thorac Surg 1985;40:456-63   DOI   PUBMED   ScienceOn