PMID: 9537558Apr 16, 1998Paper

Operative treatment of truncal vascular injuries in children and adolescents

Journal of Pediatric Surgery
Charles S CoxRichard J Andrassy

Abstract

Pediatric truncal vascular injuries are rare, but the reported mortality rate is high (35% to 55%), and similar to that in adults (50% to 65%). This report examines the demographics, mechanisms of injury, associated trauma, and results of treatment of pediatric patients with noniatrogenic truncal vascular injuries. A retrospective review (1986 to 1996) of a pediatric (< or = 17 years old) trauma registry database was undertaken. Truncal vascular injuries included thoracic, abdominal, and neck wounds. Fifty-four truncal vascular injuries (28 abdominal, 15 thoracic, and 11 neck injuries) occurred in 37 patients (mean age, 14+/-3 years; range, 5 to 17 years); injury mechanism was penetrating in 65%. Concomitant injuries occurred with 100% of abdominal vascular injuries and multiple vascular injuries occurred in 47%. Except for aortic and one SMA injury requiring interposition grafts, these wounds were repaired primarily or by lateral venorrhaphy. Nonvascular complications occurred more frequently in patients with abdominal injuries who were hemodynamically unstable (systolic blood pressure [BPS] <90) on presentation (19 major complications in 11 patients versus one major complication in five patients). Thoracic injuries were prima...Continue Reading

References

Nov 1, 1976·The Journal of Trauma·I J ShakerJ A Haller
Dec 1, 1991·The Journal of Trauma·J R HallJ L Meller
Mar 1, 1990·The Journal of Trauma·R F WilsonM Balog
Jul 1, 1990·The Journal of Trauma·Y G WolfR P Harmel
Sep 1, 1990·American Journal of Surgery·M K ReedS I Myers
Aug 1, 1987·The Thoracic and Cardiovascular Surgeon·S A NashefM P Jamieson
Sep 1, 1986·The Journal of Trauma·R G Wiencek, R F Wilson
Jan 1, 1987·Journal of Pediatric Surgery·A CooperR Gandhi
May 1, 1983·The Journal of Trauma·K R SirinekB A Levine
May 1, 1981·Archives of Surgery·J D RichardsonL M Flint
Jul 1, 1994·The Journal of Trauma·S R KleinF S Bongard

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Citations

Sep 28, 2006·Pediatric Surgery International·Shawn D St Peter, Daniel J Ostlie
May 9, 2003·The Annals of Thoracic Surgery·Riyad Karmy-JonesRobert D Bloch
May 3, 2005·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·D G HealyA E Wood
Apr 12, 2001·Saudi Medical Journal·S J CranksonS A Al-Jaddan
May 19, 2012·Case Reports in Pediatrics·P RaychaudhuriRajendra Kumar
Jun 19, 2008·Journal of Pediatric Surgery·Scott A AndersonElizabeth A Beierle
Jan 9, 2007·Journal of Pediatric Surgery·Denise B KlinknerThomas T Sato
Mar 23, 2015·The Journal of Surgical Research·Casey J AllenJuan E Sola
Mar 22, 2014·Journal of Pediatric Surgery·Carole Y VillamariaTodd E Rasmussen
Jan 26, 2018·Implementation Science : IS·Shannon DorseyEsther Deblinger
Jul 25, 2014·The Journal of Trauma and Acute Care Surgery·Simon Peter RowlandAlun H Davies
May 26, 2011·The Journal of Trauma·Michael G CorneilleRonald M Stewart
Jan 17, 2003·Critical Care Medicine·David Bliss, Mark Silen
Feb 20, 2007·The Journal of Trauma·Mary C McCarthyMbaga S Walusimbi
Oct 27, 2009·Journal of Pediatric Surgery·Nathan D AllisonCharles S Cox

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