Surgical treatment for closed thoracic aortic injuries

A. Appelbaum, R. B. Karp, J. W. Kirklin

Research output: Contribution to journalArticlepeer-review

71 Scopus citations


Eighteen patients with acute aortic tear secondary to nonpenetrating thoracic trauma and seven with chronic tears have been operated upon. Of the patients with acute injury, 28 per cent had normal chest x ray on admission. The diagnosis of acute aortic tear was made by aortography in all patients. Two patients died from causes unrelated to the aortic injury. In the group of 18 patients in which some method of perfusing the distal aorta was used, two developed paraplegia; in the group of 7 treated with simple aortic cross clamping none occurred. The average length of operation was 6 1/2 hours and 3 3/4 hours in the two groups, respectively, average aortic cross clamp time 69 and 23 minutes, respectively, and average blood administration 3,139 and 1,700 ml., respectively. The authors conclude that the diagnosis of acute aortic tear cannot be reliably made on clinical grounds, and that with properly trained personnel the method of choice is usually simple aortic cross clamping during repair.

Original languageEnglish
Pages (from-to)458-460
Number of pages3
JournalJournal of Thoracic and Cardiovascular Surgery
Issue number3
StatePublished - 1 Jan 1976
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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