Korean J Thorac Cardiovasc Surg.  2019 Oct;52(5):372-375. 10.5090/kjtcs.2019.52.5.372.

Hybrid Approach for Treatment of Multiple Traumatic Injuries of the Heart, Aorta, and Abdominal Organs

Affiliations
  • 1Department of Trauma and Surgical Critical Care, Pusan National University Hospital Trauma Center, Pusan National University School of Medicine and Biomedical Research Institute, Busan, Korea.
  • 2Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Pusan National University School of Medicine and Biomedical Research Institute, Busan, Korea. song77.sh@gmail.com
  • 3Department of Trauma, Wonkwang University Hospital Trauma Center, Wonkwang University School of Medicine, Iksan, Korea.

Abstract

A 55-year-old man was admitted to the trauma center after a car accident. Cardiac tamponade, traumatic aortic injury, and hemoperitoneum were diagnosed by ultrasonography. The trauma surgeon, cardiac surgeon, and interventional radiologist discussed the prioritization of interventions. Multi-detector computed tomography was carried out first to determine the severity and extent of the injuries, followed by exploratory sternotomy to repair a left auricle rupture. A damage control laparotomy was then performed to control mesenteric bleeding. Lastly, a descending thoracic aorta injury was treated by endovascular stenting. These procedures were performed in the hybrid-angio room. The patient was discharged on postoperative day 135, without complications.

Keyword

Trauma; Hybrid operation; Endovascular procedure/stent; Resuscitation; Shock

MeSH Terms

Aorta*
Aorta, Thoracic
Cardiac Tamponade
Heart*
Hemoperitoneum
Hemorrhage
Humans
Laparotomy
Middle Aged
Resuscitation
Rupture
Shock
Stents
Sternotomy
Trauma Centers
Ultrasonography
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