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Abstract
Surgical repair of traumatic rupture of the aorta results in an excellent survival
rate especially among the young, although paraplegia continues to be a serious postoperative
complication.
The authors present nine cases admitted to Stoke Mandeville Hospital, England, including
detailed post-mortem findings on one of the cases.
Although it was difficult to be certain of the patients' general and neurological
status prior to surgery, as it was not well documented in the patients' case notes,
it was evident that systemic hypotension and poor distal aortic perfusion were responsible
for the disabling complication. A review of the initial medical management of these
patients and the surgical techniques employed in repairing such injuries is urgently
needed.
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Article info
Publication history
Accepted:
March 4,
1992
Identification
Copyright
© 1992 Published by Elsevier Inc.
