Korean J Thorac Cardiovasc Surg.  2007 Aug;40(8):558-563.

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

• Seok YK
• Cho JY
• Lee JT
• Kim GJ
• Park I

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 6.67% (one patient). This patient died intraoperatively and the cause of the death was delayed hemoperitoneum. The mean operative time and aortic clamp time were 231+/-53.1 and 13.1+/-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.

Keyword

Aorta, Surgery; Trauma; Aortic rupture; Aortic clamping

MeSH Terms

Abdomen
Aortic Rupture*
Hemoperitoneum
Hospital Mortality
Humans
Medical Records
Operative Time
Perfusion*
Retrospective Studies