INJURIES TO VISCERAL ARTERIES

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  • 1 January 1978
    • journal article
    • research article
    • Vol. 84  (6) , 835-839
Abstract
Injuries of the major visceral arteries are difficult to manage and rarely occur without serious associated injuries. Of 66 patients presented with injuries to the celiac, superior and inferior mesenteric arteries, 53 resulted from gunshot wounds, 9 from stab wounds and 4 from blunt trauma. Operative management included vessel ligation in 11 patients, arteriorrhaphy in 43, resection and end-to-end anastomosis in 6, Dacron graft interposition in 4, and aortic reimplantation in 2. Twenty-three patients died, 16 from failure to control hemorrhage. In 2 patients, failure to restore adequate visceral circulation resulted in bowel ischemia and infarction. The successful management of patients with visceral arterial injuries is dependent upon rapid and adequate exposure, followed by primary repair or revascularization utilizing available surgical techniques.

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