Blunt Thoracic Aortic Injury – Challenges of Open Repair

  • Krishna Prasad Bashyal Manmohan Cardiothoracic Vasculr and Transplanr Center
  • Uttam Krishna Shrestha
  • Kajan Raj Shrestha
  • Dinesh Gurung
  • Nikesh Bhandari
  • Prashiddha Kadel

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 good 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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Published
2020-12-06
How to Cite
BASHYAL, Krishna Prasad et al. Blunt Thoracic Aortic Injury – Challenges of Open Repair. J Soc Surg Nep, [S.l.], v. 23, n. 1, p. 50-52, dec. 2020. ISSN 2392-4772. Available at: <http://jssn.org.np/index.php?journal=jssn&page=article&op=view&path%5B%5D=396>. Date accessed: 19 jan. 2021.