PMID: 2491416Jul 1, 1989Paper

Traumatic tears of the thoracic aorta: improved results using the Bio-Medicus pump

The Annals of Thoracic Surgery
P J HessR M Stiegel

Abstract

Traumatic disruption of the descending thoracic aorta is a relatively rare but dramatic injury. Controversy remains regarding the use of shunts during operative repair. Discouraged by our results using the "no shunt" technique, we adopted the recently reported technique using the Bio-Medicus pump for left atrium-femoral artery bypass without heparin sodium. At Charlotte Memorial Hospital and Medical Center, 39 patients were treated for tears of the descending thoracic aorta between January 1979 and October 1988. Eight patients died before repair could be completed. Four patients underwent repair using femorofemoral bypass with 1 death and no instances of paraplegia. Fifteen patients had repair using the no-shunt technique with 4 deaths and three instances of paraplegia. Since January 1986, 12 patients have been treated using the Bio-Medicus heparinless pump with no deaths and no instances of paraplegia. We present our experience to confirm the reports of others regarding the efficacy of this technique. We believe it reduces the morbidity and mortality associated with this serious injury and aids in the hemodynamic management of the patient during aortic clamping.

References

Jun 1, 1987·The Annals of Thoracic Surgery·R ColonH A McAllister
Jan 1, 1987·The Annals of Thoracic Surgery·L R McBrideD G Pennington
Jun 1, 1985·The Annals of Thoracic Surgery·J W Pate
Dec 1, 1984·The Annals of Thoracic Surgery·H F OlivierG J Magovern

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Citations

Feb 11, 2011·General Thoracic and Cardiovascular Surgery·Yutaka Okita
Jul 1, 1989·The Annals of Thoracic Surgery·K L Mattox
Jan 1, 1995·The Annals of Thoracic Surgery·M C MauneyC G Tribble
Nov 4, 1998·The Annals of Thoracic Surgery·J S GammieS M Pham
Jan 8, 2000·The Surgical Clinics of North America·D V Feliciano, G S Rozycki
Aug 20, 2002·AJR. American Journal of Roentgenology·Rossella FattoriGiampaolo Gavelli
Sep 1, 1993·The Annals of Thoracic Surgery·D A Fullerton
Mar 1, 1996·The Annals of Thoracic Surgery·A C NocolosiG N Olinger
Aug 1, 1994·The Annals of Thoracic Surgery·U O von OppellP Zilla
May 1, 1997·American Journal of Surgery·S SharmaA Cobanoglu
May 1, 1992·Current Problems in Surgery·C CooperL Omert
Feb 1, 1992·The Annals of Thoracic Surgery·A D HilgenbergD F Torchiana
Nov 15, 2008·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R FattoriR Di Bartolomeo
Sep 29, 2009·The Surgical Clinics of North America·Chris C Cook, Thomas G Gleason
Aug 28, 2014·Current Opinion in Cardiology·Marc SintekJasvindar Singh
Jan 4, 1992·Healthcare Management Forum·S B ShepsK Cardiff
Mar 1, 1995·Annals of Biomedical Engineering·A CappelloC Lamberti
May 5, 1999·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·T KawadaN Yamate
Dec 9, 1997·The Journal of Trauma·E J FrickS A Nastasee
Sep 18, 1998·Current Problems in Surgery·A T PezzellaR A Lancey
Apr 1, 1990·The Annals of Thoracic Surgery·A Verdant

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