Traumatic Aneurysm of Descending Thoracic Aorta -A Case Report-

외상성 하행 흉부 대동맥류 -치험 1 례 보고-

  • Published : 1994.12.01

Abstract

We experienced a case of traumatic aneurysm of descending thoracic aorta by an automobile accident. The patient was 23-year-old-male with a traumatic aortic aneurysm [6x12cm] on the descending thoracic aorta just distal to the origin of the left subclavian artery. Exposure was obtained through a left posterolateral thoracotomy incision in the fourth intercostal space and then partial femoro-femoral cardiopulmonary bypass was established.After aortic cross- clamping, the aneurysmal sac was opened and repaired with interposition of Dacron vascular graft and aortic cross-clamping period lasted for 100 minutes. Postoperative bleeding and vocal cord paralysis were complicated, but bleeding was controlled by reoperation and vocal cord paralysis was improved. Follow up was continued for 14months and postoperative course was uneventful.

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References

  1. Cirulation v.17 Nonpenetrating traumatic injury of the aorta Parmley LF.;Mattingly TW;Manion WC.
  2. J Thorac Cardiovasc Surg v.66 Reappraisal of adjuncts to avoid ischemia in the treatment of aneurysms of descending thoracic aorta Crawford ES;Rubio PA
  3. J Thorac Cardiovasc Surg v.72 J Traumatic rupture of the aorta.A five year experience Turney SZ;Attar S;Ayella R;Cowley RA;McLaughlin
  4. 대흉외지 v.17 외상성 흉부 대동맥류 안혁;장병철;임승평
  5. J Thorac Cardiovasc Surg v.89 TR. Aneurysm of the descending thoracic aorta. Replacement with the use of a shunt or bypass Hilgenberg AD;Rainer WG;Sadler Jr.
  6. J Thorac Cardiovasc Surg v.85 Anurysms of the descending aorta. Surgical experience in 48 patients Culliford AT;Ayvaliotis B.;Shemin R.;Colvin SB;Isom W;Spencer FC