Immediate Repair of Penetrating Wounds of the Thoracic Aorta
- 28 December 1963
- journal article
- research article
- Published by American Medical Association (AMA)
- Vol. 186 (13) , 1170-1172
- https://doi.org/10.1001/jama.1963.63710130014022a
Abstract
LACERATING INJURIES of the thoracic aorta usually are immediately fatal. However, a significant number of victims live long enough to be brought to the operating room if the diagnosis is considered early. Since the first successful repair of a penetrating injury to the thoracic aorta by Dschanelidze1in 1922, only ten isolated cases of immediate repair have been recorded.2-11Three patients lived long enough to have delayed repair of the thoracic aortic laceration12-14and the complications of these injuries (intracardiac and extracardiac fistula) were successfully treated in another ten instances.9,14-19 With the present knowledge of cardiovascular techniques an aggressive approach will salvage many patients with laceration of the heart or great vessels. The following case is believed to be the first report of immediate repair of a gunshot wound of the ascending thoracic aorta. Report of a Case On Dec 21, 1962, a white, 37-year-old manKeywords
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