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Related Experiment Videos

Traumatic aortic transections: eight-year experience with the "clamp-sew" technique

M S Sweeney1, D J Young, O H Frazier

  • 1Division of Thoracic and Cardiovascular Surgery, University of Texas-Houston Medical School 77030, USA.

The Annals of Thoracic Surgery
|August 1, 1997
PubMed
Summary

The clamp-sew technique is a safe and effective surgical method for treating traumatic aortic transections, a condition with high mortality. This retrospective review of 75 patients demonstrates its efficacy in managing acute aortic injuries.

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Area of Science:

  • Cardiovascular Surgery
  • Trauma Surgery
  • Surgical Techniques

Background:

  • Traumatic aortic transection carries a high mortality rate.
  • Significant debate exists regarding optimal surgical techniques for acute traumatic aortic transection.

Purpose of the Study:

  • To evaluate the safety and efficacy of the "clamp-sew" method for treating traumatic aortic transections.
  • To assess the outcomes of patients undergoing surgical repair of aortic injuries secondary to blunt trauma.

Main Methods:

  • Retrospective review of 75 patients with aortic injuries from blunt trauma over 8 years.
  • Surgical treatment using the "clamp-sew" method in 71 patients.
  • Analysis of aortic cross-clamp times, associated injuries, and mortality rates.

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Main Results:

  • Aortic cross-clamp time averaged 24 minutes; one patient developed paraplegia.
  • 51/75 patients had significant associated injuries (intrathoracic, orthopedic, intraabdominal, CNS).
  • Overall 30-day mortality was 12%, with most deaths linked to multiple severe associated injuries, particularly CNS damage.

Conclusions:

  • The "clamp-sew" technique is a safe and effective method for managing traumatic aortic transections.
  • While associated injuries impact outcomes, the clamp-sew approach provides a viable treatment option.