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Thoracic vascular injuries: a major problem in trauma.
M A Rashid1, T Wikström, P Ortenwall
1Department of Surgery, Sahlgrenska University Hospital, University of Gothenburg, Sweden.
Scandinavian Cardiovascular Journal : SCJ
|January 5, 2002
Summary
Managing thoracic vascular injuries is challenging. Early thoracotomy is crucial for patient survival, even with limited Scandinavian experience.
Area of Science:
- Cardiovascular Surgery
- Trauma Surgery
- Vascular Surgery
Background:
- Thoracic vascular injuries are critical emergencies.
- Management requires specialized surgical expertise.
Purpose of the Study:
- To review the management of thoracic vascular injuries over 10 years.
- To assess morbidity and mortality outcomes.
Main Methods:
- Retrospective review of eight patients with chest trauma and vascular injuries.
- Angiography used for diagnosing aortic and subclavian injuries.
Main Results:
- Six patients presented with shock.
- Some injuries (vena cava, mammary, intercostal) only detected during surgery.
- Two patients died from exsanguination.
Conclusions:
- Early thoracotomy is vital for salvaging patients with chest-wall vascular injuries.
- Satisfactory outcomes achieved despite limited experience, typical for the region.