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Abstract
This is a retrospective study of 57 patients with gunshot injuries of the abdominal
aorta. The aortic repair was achieved by various means: lateral aortorraphy, patch
aortoplasty and graft insertion. There was an 85 per cent mortality rate from bleeding
or secondary coagulopathy directly related to the aortic injuries. The need for resuscitative
thoracotomy, shock, lack of response to fluid resuscitation and intraperitoneal bleeding
were directly related to mortality. We feel that shortening of prehospital transfer
time will increase the absolute number of patients surviving this grave injury.
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References
- Outcome of a strict policy in emergency department thoracotomies.Arch Surg. 1995; 30: 774
- Critical factors in determining mortality from abdominal aortic trauma.Surg Gynecol Obstet. 1985; 160: 313
- Penetrating abdominal aortic trauma: a report of 129 cases.J Vasc Surg. 1992; 16: 332
- Penetrating injuries of the abdominal aorta.Am Surg. 1990; 56: 651
- Mortality and prognostic factors in penetrating injuries of the aorta.J Trauma. 1996; 40: 761
- Management of injuries to the suprarenal aorta.Am J Surg. 1987; 154: 613
- Acute abdominal aortic injuries.J Trauma. 1982; 22: 481
Article info
Publication history
Accepted:
November 14,
1996
Identification
Copyright
© 1997 Published by Elsevier Inc.