Surgical Treatment of Great Artery Injury in Cervix and Chest: A Report of 28 Cases
Chen Bangchang,Gao Shangzhi, Tu Zhongfan et al. Department of Thoracic and Cardial Surgery,The First Affiliated Hospital, Hubei Medical Unicversity, Wuhan 430060
28 cases of great vessel njury in cervix and chest were surgically treated. The emergent cases directly underwent the repair of rupture combined with Dacron prosthetic patch for defects or with grafted au-tosaphanous vein. The cases of false aneurysm were performed the repair of rupture,end to end anastomosis after the resection of the aneurysm,or reconstruction of vascularization by using a Gore-Tex conduit. The median sternal incision was a better approach for the proximal injury of carotid and innominate arteries. The operative resuls showed 20 cases were cured(71. 4%) ,1 improvement and 7 died(25- 0%). It was demonstrated that timely diagnosis immediate operation and effective postoperative treatment were the key for the decrease of hospital mortality.
【CateGory Index】： R654.3