TY  - JOUR
PY  - 1976//
TI  - Traumatic rupture of thoracic aorta. Diagnosis and management
JO  - Archives of surgery (1960)
A1  - Dart, C. H.
A1  - Braitman, H. E.
SP  - 697
EP  - 702
VL  - 111
IS  - 6
N2  - Of six cases of thoracic aortic rupture, four were acute and two were chronic. In the four acute cases, suspicious findings were an appreciably widened mediastinum, upper-extremity hypertension, change in pulse amplitude, or, more hopefully, generalized hypertension, left intraclavicular systolic murmur, and loss of posterior aortic shadow on chest x-ray film. Preoperative angiography was essential. Three of four acute aortic transections (one with aortic arch involvement) had complicated associated injuries that necessitated delay in aortic surgical repair; antihypertensive drugs, including propranolol hydrochloride, were used for support in the interval. Perfusion by femoral vein-femoral artery cardiopulmonary bypass was used. All four patients were operated on successfully without residual complications. Two patients with chronic conditions were recommended for surgery; one was successfully operated on, using aorto-aortic bypass. Another patient, 27 years postinjury, refused operation. Postoperative arteriograms were performed for baseline observations of graft and suture-line characteristics in all cases.<p /> <p>Language: en</p>
LA  - en
SN  - 0004-0010
UR  - http://dx.doi.org/
ID  - ref1
ER  -