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Hybrid Approach for Treatment of Multiple Traumatic Injuries of the Heart, Aorta, and Abdominal Organs

  • Kim, Seon Hee (Department of Trauma and Surgical Critical Care, Pusan National University Hospital Trauma Center, Pusan National University School of Medicine and Biomedical Research Institute) ;
  • Song, Seunghwan (Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Pusan National University School of Medicine and Biomedical Research Institute) ;
  • Cho, Ho Seong (Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Pusan National University School of Medicine and Biomedical Research Institute) ;
  • Park, Chan Yong (Department of Trauma, Wonkwang University Hospital Trauma Center, Wonkwang University School of Medicine)
  • Received : 2019.04.08
  • Accepted : 2019.07.16
  • Published : 2019.10.05

Abstract

A 55-year-old man was admitted to the trauma center after a car accident. Cardiac tamponade, traumatic aortic injury, and hemoperitoneum were diagnosed by ultrasonography. The trauma surgeon, cardiac surgeon, and interventional radiologist discussed the prioritization of interventions. Multi-detector computed tomography was carried out first to determine the severity and extent of the injuries, followed by exploratory sternotomy to repair a left auricle rupture. A damage control laparotomy was then performed to control mesenteric bleeding. Lastly, a descending thoracic aorta injury was treated by endovascular stenting. These procedures were performed in the hybrid-angio room. The patient was discharged on postoperative day 135, without complications.

Keywords

References

  1. Bunya N, Harada K, Kuroda Y, et al. The effectiveness of hybrid treatment for sever multiple trauma: a case of multiple trauma for damage control laparotomy and thoracic endovascular repair. Int J Emerg Med 2017;10:18. https://doi.org/10.1186/s12245-017-0145-8
  2. D'Amours SK, Rastogi P, Ball CG. Utility of simultaneous interventional radiology and operative surgery in a dedicated suite for seriously injured patients. Curr Opin Crit Care 2013;19:587-93. https://doi.org/10.1097/mcc.0000000000000031
  3. Ball CG. Damage control resuscitation: history, theory and technique. Can J Surg 2014;57:55-60. https://doi.org/10.1503/cjs.020312
  4. Yun JH, Byun JH, Kim SH, et al. Blunt traumatic cardiac rupture: single-institution experiences over 14 years. Korean J Thorac Cardiovasc Surg 2016;49:435-42. https://doi.org/10.5090/kjtcs.2016.49.6.435
  5. Huh U, Song S, Chung SW, et al. Is extracorporeal cardiopulmonary resuscitation practical in severe chest trauma?: a systematic review in single center of developing country. J Trauma Acute Care Surg 2017;83:903-7. https://doi.org/10.1097/TA.0000000000001680
  6. Agostinelli A, Carino D, Borrello B, et al. Blunt traumatic injury to the thoracic aorta treated with thoracic endovascular aortic repair: a single-centre 20-year experience. Interact Cardiovasc Thorac Surg 2019;28:17-22. https://doi.org/10.1093/icvts/ivy211

Cited by

  1. Priority Setting in Damage Control Surgery for Multiple Abdominal Trauma Following Resuscitative Endovascular Balloon Occlusion of the Aorta vol.33, pp.3, 2020, https://doi.org/10.20408/jti.2020.0040