• Ann. Thorac. Surg. · Dec 2002

    Case Reports

    Median sternotomy and extended left anterior thoracotomy for repair of traumatic aortic transection with ruptured right atrium.

    • Dong Kang, Duncan S Thomson, Kiyoshi Doi, and Allen N James.
    • Department of Cardiothoracic Surgery, John Hunter Hospital, New South Wales, Australia. kangdong@hotmail.com
    • Ann. Thorac. Surg. 2002 Dec 1;74(6):2191-2.

    AbstractA 22-year-old man presented with traumatic aortic transtion associated with rupture of the right atrium and underwent urgent median sternotomy to repair the right atrium. A T-shaped extended left anterior thoracotomy was performed, and ruptured descending thoracic aorta was repaired under total bypass. A Y-shaped connector was inserted in the arterial catheter to allow cannulation of both ascending aorta and femoral arteries. A 4-cm long Hemoshield graft was used to repair the aortic transection. The patient made a full recovery and was discharged 13 days after the accident.

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