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Related Experiment Videos

Operation for chronic traumatic aortic aneurysm: when and how?

T Katsumata1, A Shinfeld, S Westaby

  • 1Department of Cardiac Surgery, Oxford Heart Centre, John Radcliffe Hospital, England.

The Annals of Thoracic Surgery
|October 13, 1998
PubMed
Summary
This summary is machine-generated.

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Surgical intervention for traumatic aortic aneurysms is recommended for symptomatic patients. Asymptomatic, calcified aneurysms over two years old may be monitored non-operatively.

Area of Science:

  • Cardiovascular Surgery
  • Trauma Surgery
  • Vascular Surgery

Background:

  • Guidelines for late surgical intervention after unoperated traumatic aortic rupture are scarce.
  • Traumatic aortic aneurysms present unique management challenges due to delayed presentation.

Purpose of the Study:

  • To review surgical and non-surgical management of chronic traumatic aortic aneurysms.
  • To establish criteria for intervention in late-presenting traumatic aortic injuries.

Main Methods:

  • Retrospective review of 9 patients (aged 22-82) with chronic traumatic aneurysms (1987-1997).
  • Surgical interventions included aneurysm resection via median sternotomy or left thoracotomy with various bypass or circulatory arrest techniques.
  • Two patients were managed non-operatively.

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Main Results:

  • No surgical mortality or morbidity was observed in the treated patients.
  • Two non-operatively managed patients remained asymptomatic with stable aneurysms at 2 and 9 years follow-up.

Conclusions:

  • Prompt surgical intervention is advised for symptomatic traumatic aortic aneurysms.
  • Asymptomatic, densely calcified aneurysms over two years post-injury may be observed with serial imaging.