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Traumatische Aortenruptur

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Book cover Operative und interventionelle Gefäßmedizin

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Zusammenfassung

Die traumatische Aortenruptur im Isthmusabschnitt als Folge eines Dezelerationstraumas oder durch direkte stumpfe Gewalteinwirkung mit sagittaler Kompression ist am Unfallort mit einer Sterblichkeit von 80–90 % gekennzeichnet (Abb. 1) (Orend et al. 1996). Eine Metaanalyse von 1742 Patienten (von Oppell et al. 1994) zeigte, dass die Gesamtletalität der Patienten, die lebend zur Klinikaufnahme kamen, 32 % betrug. Ein Drittel dieser Patienten verstarb vor einer definitiven chirurgischen Versorgung; bei 2,6 % war bereits präoperativ eine Paraplegie vorhanden. Nach chirurgischer Versorgung entwickelten 9,9 % von 1492 Patienten postoperativ eine Paraplegie.

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Author information

Authors and Affiliations

  1. Abt. für Thorax- und Gefäßchirurgie, Universitätsklinikum Ulm, Ulm, Deutschland

    Karl-Heinz Orend

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  1. Karl-Heinz Orend
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Editors and Affiliations

  1. Allgemeines Krankenhaus Harburg, Hamburg, Germany

    Eike Sebastian Debus

  2. Radiologie, Allgemeines Krankenhaus Harburg Abt. Diagnostische und Interventionelle, Hamburg, Germany

    Walter Gross-Fengels

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Orend, KH. (2018). Traumatische Aortenruptur. In: Debus, E., Gross-Fengels, W. (eds) Operative und interventionelle Gefäßmedizin. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-45856-3_103-1

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  • DOI: https://doi.org/10.1007/978-3-662-45856-3_103-1

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-45856-3

  • Online ISBN: 978-3-662-45856-3

  • eBook Packages: Springer Referenz Medizin

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