par Ndiaye, Mouhamadou Mansour M.;Leclerc, Jean Louis 
;De Smet, Jean-Marie ;Goldstein, Jacques ;Joris, Marc ;Primo, Georges
Référence Dakar médical, 35, 2, page (182-185)
Publication Publié, 1990
;De Smet, Jean-Marie ;Goldstein, Jacques ;Joris, Marc ;Primo, Georges Référence Dakar médical, 35, 2, page (182-185)
Publication Publié, 1990
Article révisé par les pairs
| Résumé : | The authors present a series of 15 cases of traumatic disruption of the aortic isthmus. There were 9 cases of acute rupture and 6 of chronic rupture. All the patients have been operated on. Different technics was used to protect the viscera during aortic cross-clamping, partial E.C.C. in 9 cases, clamp-repair technic in 4 cases and a GOTT shunt in 2 cases. 4 patients died in the first thirty days (3 acute and 1 chronic). 2 cases of paraplegia was observed. All the patients have been reviewed after a mean follow-up of 36 months and remain well but one who is still paraplegic. Surgical repair is mandatory in acute and aortic disruption with a great attention to the associated injuries. |
