Avtor/Urednik		Gračner, Rajko
Naslov		Modifikacija rekonstrukcije traumatske rupture descendentne aorte upotrebom intraluminarnog konduita
Tip		monografija
Kraj izdaje		Zagreb
Založnik		Sveučilište u Zagrebu, Medicinski fakultet
Leto izdaje		2003
Obseg		str. 49
Jezik		cro
Abstrakt		Acute traumatic rupture of the thoracic aorta is a severe injury with a high mortality rate. This condition requires expeditious evolution and prompt surgical intervention in order to improve survival and prevent morbidity. A reliable method that would prevent intraoperative ischaemic damage to the spinal cord and improve survival still remains to be found. There is some controversy over whether the aorta should be repaired using cardiopulmonary bypass, an active pump bypass, a heparinized passive shunt, or simple cross clamping and graft interposition without a shunt or bypass. The purpose of this applied clinical study was to evaluate a new method of surgical management using an intraaortic temporary shunt. Between August 3, 1986 and July 18, 1995, 21 patients who had acute traumatic aortic rupture in the area of the isthmus were treated in our institution. Eight patients underwent repair using left heart bypass with a roller pump and a reservoir (group A), 3 had simple cross clamping (group B) and 9 were operated upon with the new technique (group C). Overall mortality was 28.6 % . One patient died during cardiac resuscitation after thoracotomy, before bypass and aortic repair were undertaken. Five patients died in group A. Two patients in group B developed postoperative paraplegia/paresis. All patients in group C survived and none experienced paraplegia/paresis following operation. I believe that the technique using an internal temporary aortic shunt provides good perfusion of the lower part of the body. Being simple and safe, this new method should be considered in most patients with acute traumatic tears of the thoracic aorta.
Deskriptorji		AORTA, THORACIC AORTIC RUPTURE BLOOD VESSEL PROSTHESIS TREATMENT OUTCOME