Advertisement

Open Repair of Traumatic Thoracic Aortic Injury Without Shunt, and Using a Woven Dacron Graft

  • Aurelio Rodriguez
  • David C. Elliott
Chapter

Abstract

Preoperative Preparation
  1. 1.

    Place multiple large-bore intravenous lines.

     
  2. 2.

    Utilize double-lumen endotracheal tube.

     
  3. 3.

    Place right radial arterial monitoring line.

     
  4. 4.

    Consider PA catheter.

     
  5. 5.

    Ensure all IV fluids are warmed.

     
  6. 6.

    Ensure generous blood supply available.

     

Keywords

Aortic trauma Large vessels trauma 

Suggested Reading

  1. Acher C, Acher CW, Marks E, Wynn M. Intraoperative neuroprotective interventions prevent spinal cord ischemia and injury in thoracic endovascular aortic repair. J Vasc Surg. 2016;63(6):1458–65.CrossRefGoogle Scholar
  2. Cambria RP, Crawford RS, Cho JS, Bavaria J, Farber M, Lee WA, Ramaiah V, Kwolek CJ, GORE TAG Investigators. A multicenter clinical trial of endovascular stent graft repair of acute catastrophes of the descending thoracic aorta. J Vasc Surg. 2009;50(6):1255–64.e1–4.CrossRefGoogle Scholar
  3. Hoffer EK, Karmy-Jones R, Bloch RD, Meissner MH, Borsa JJ, Nicholls SC, et al. Treatment of acute thoracic aortic injury with commercially available abdominal aortic stent-grafts. J Vasc Interv Radiol. 2002;13(10):1037–41.CrossRefGoogle Scholar
  4. Kasirajan K, Heffernan D, Langsfeld M. Acute thoracic aortic trauma: a comparison of endoluminal stent grafts with open repair and nonoperative management. Ann Vasc Surg. 2003;17(6):589–95.CrossRefGoogle Scholar
  5. Schumacher H, Böckler D, von Tengg-Kobligk H, Allenberg JR. Acute traumatic aortic tear: open versus stent-graft repair. Semin Vasc Surg. 2006;19(1):48–59.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Aurelio Rodriguez
    • 1
  • David C. Elliott
    • 2
  1. 1.Panamerican Trauma SocietyWexfordUSA
  2. 2.Colonel, US Army Medical Corps (Retired)Surgeon, Médecins Sans Frontières/Doctors Without BordersRichmondUSA

Personalised recommendations