Blunt thoracic aortic injury: challenges of open repair

  • Krishnaprasad Bashyal Department of Surgery, Manmohan Cardiothoracic Vascular and Transplant Center, Maharajgunj, Kathmandu
  • Uttam Krishna Shrestha Department of Surgery, Manmohan Cardiothoracic Vascular and Transplant Center, Maharajgunj, Kathmandu
  • Kajan Raj Shrestha Department of Surgery, Manmohan Cardiothoracic Vascular and Transplant Center, Maharajgunj, Kathmandu
  • Dinesh Gurung Department of Surgery, Manmohan Cardiothoracic Vascular and Transplant Center, Maharajgunj, Kathmandu
Keywords: Blunt, Complications, Open repair, Thoracic aortic injury

Abstract

Thoracic aortic injuries are fatal with less than 50% patients surviving beyond 24 hours even after reaching the hospital if approach is delayed. Rapid transportation, adequate resuscitation, prompt radiological diagnosis, and urgent repair significantly improves outcomes. Even after a food repair, complications such as spinal cord ischemia causing paraplegia and acute lung injury significantly increase the morbidity. Thoracic endovascular repair may appear to be superior to open repair, but its long-term results and efficacy are not well established. We present our experience with open repair in managing this challenging acute emergency and certain measures to avert common but grievous complications.

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Abstract
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Published
2020-12-20
How to Cite
Bashyal, K., Shrestha, U., Shrestha, K., & Gurung, D. (2020). Blunt thoracic aortic injury: challenges of open repair. Journal of Society of Surgeons of Nepal, 23(1), 50-52. https://doi.org/10.3126/jssn.v23i1.33557
Section
Case Reports