Delayed treatment of isthmic aortic rupture

Angelo Pierangeli, Bruno Turinetto, Roberto Galli, Llaria Caldarera, Rossella Fattori, Giampaolo Gavelli

Research output: Contribution to journalArticlepeer-review

Abstract

Traumatic rupture of the thoracic aorta is a life-threatening injury with a high mortality, and is difficult to manage in polytraumatized patients. Between 1980 and 1998, 50 patients were admitted to our Department with acute traumatic aortic rupture (TAR). The site of lesion was usually isthmic (86% of patients). From 1980 to 1992, 21 patients (Group I) underwent emergency surgical repair; from 1992 to January 1998, 29 patients (Group II) underwent intensive medical treatment, except one who was haemodynamically unstable and died 8h after the trauma from a massive haemothorax before an emergency thoracotomy could be attempted. The aortic rupture was followed up by MRI or CT scan. Twenty-one patients in Group II underwent aortic repair an average of 8.6months after the injury. In two patients the operation was expedited because of an enlarging aortic aneurysm. In Group I the postoperative mortality was 19%, three patients developed postoperative paraplegia and one acute renal failure. In Group II there were no postoperative deaths and no major complications. Copyright (C) 2000 The International Society for Cardiovascular Surgery.

Original languageEnglish
Pages (from-to)280-283
Number of pages4
JournalCardiovascular Surgery
Volume8
Issue number4
DOIs
Publication statusPublished - Jun 2000

Keywords

  • Delayed treatment
  • Traumatic aortic rupture

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging
  • Surgery

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