Related Experiment Video
Updated: Aug 11, 2026
06:50
A Model of Acute Lung Injury Following Visceral Ischemia-Reperfusion by Supra-Coeliac Aortic Cross Clamping in Rats
Published on: August 15, 2025
Intraoperative ruptures of thoracic aortic aneurysms
Yu V Belov1, A B Stepanenko, A P Gens
1Department of Surgery of Aorta and Its Branches, Russian Scientific Center of Surgery, Russian Academy of Medical Sciences, Moscow, Russia.
Angiologiia I Sosudistaia Khirurgiia = Angiology and Vascular Surgery
|February 14, 2006
Summary
Intraoperative rupture of the thoracic aorta is a severe complication. This study details two cases of aortic rupture during surgery, emphasizing immediate hemostasis and blood replenishment strategies.
Area of Science:
- Cardiovascular Surgery
- Aortic Aneurysm Research
- Surgical Complications
Background:
- Intraoperative rupture of thoracic aortic aneurysms presents a significant surgical challenge.
- Ruptures are particularly complex in cases of aortic dissection or false aneurysms during reoperations.
- Effective management hinges on rapid hemostasis and substantial blood volume replacement.
Observation:
- Presents two critical cases of intraoperative thoracic aortic rupture.
- Case 1: Rupture of the ascending aorta during right atrial cannulation.
- Case 2: Rupture of a false aneurysm at the aortic isthmus post-coarctation repair.
Findings:
- The posterolateral wall of the false aneurysm in Case 2 involved the left lung's visceral pleura.
- Detailed treatment protocols for these specific intraoperative rupture scenarios are provided.
- Review of existing literature on managing intraoperative aortic ruptures.
Implications:
- Highlights the critical need for preparedness and specific strategies in managing severe intraoperative aortic injuries.
- Informs surgical teams on effective approaches to hemostasis and resuscitation in complex aortic rupture cases.
- Contributes to the understanding and management of rare but life-threatening surgical complications in thoracic aortic surgery.
Related Concept Videos
01:26Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
01:22Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
01:30Aneurysm I: Introduction
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
01:15Aortic Regurgitation I: Introduction
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
01:15Thoracic Aorta
The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...