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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
1997-3-13
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pubmed:abstractText |
This is a retrospective analysis of 50 postraumatic aortic rupture (1968-1996, 39 males, mean age: 34.5). Group A is composed of 35 patients with an acute aortic rupture and a prompt diagnosis. Group B includes 13 patients with a chronic rupture. All patients from group A had a severe politraumatism with abdominal, cranial, extremities or hip fractures. Mediastinal thickening with or without hemothorax indicated an angiography or a transesophageal echocardiography lately. In group A, 36 patients have been operated on urgently (12-24 hours); cardiopulmonary bypass was performed on 20 patients; an aorto-aortical bypass was done in 27 cases and a direct suture in the remaining 9. In group B, cardiopulmonary bypass was performed on 9 patients; a aorto-aortical bypass was done in 11 cases and a direct suture in 2. Overall hospital mortality was 16%; 19% in group A and 7.6% in group B. Ischemic paraplejia appeared in 5 patients (10%), all from group A. No false aneurysm developed after 4.5 years of follow-up (3-135 months) in the 38 survivors. The usefulness of transesophageal echocardiography, the importance of medular protection and the utility of several interventionist radiologic techniques are discussed.
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pubmed:language |
spa
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0300-8932
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
49 Suppl 4
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
100-6
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:9053930-Adolescent,
pubmed-meshheading:9053930-Adult,
pubmed-meshheading:9053930-Aged,
pubmed-meshheading:9053930-Aged, 80 and over,
pubmed-meshheading:9053930-Aorta, Thoracic,
pubmed-meshheading:9053930-Child,
pubmed-meshheading:9053930-Female,
pubmed-meshheading:9053930-Humans,
pubmed-meshheading:9053930-Male,
pubmed-meshheading:9053930-Middle Aged,
pubmed-meshheading:9053930-Retrospective Studies,
pubmed-meshheading:9053930-Rupture
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pubmed:year |
1996
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pubmed:articleTitle |
[Traumatic rupture of the thoracic aorta].
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pubmed:affiliation |
Service de Chirurgie Cardiovasculaire, C.H.U. Rangueil, Toulouse, Francia.
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pubmed:publicationType |
Journal Article,
English Abstract
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