IMPLANTATION OF STENTGRAFT BECAUSE OF AORTA RUPTURE IN POLYTRAUMA
https://doi.org/10.24884/0042-4625-2013-172-5-101-107
Abstract
The article describes the clinical case and analyzes the literature concerning endoprosthesis replacement in the case of traumatic thoracic aortic injury in polytrauma. Current strategy of diagnostics and treatment of patient in critical condition with rupture of isthmic aortic part is based on the principle of multistage surgical treatment (damage control orthopedic). The external fixation of multiple pelvis and extremities fractures and on-time implantation of stent-graft in thoracic aortic part were performed at first hours after the admission. A condition of the patient was stabilized. The delayed reconstructive operations on pelvis and extremities bones allowed obtaining the satisfactory functional result. The principles of staged surgical treatment and the use of on-time high-technology methods allowed saving life for the patient even in critical situation in I level traumatologic centre.
About the Authors
I. M. Samokhvalov
Kirov Military Medical Academy
Russian Federation
Russian Federation
A. N. Petrov
Kirov Military Medical Academy
Russian Federation
Russian Federation
A. A. Erofeev
Kirov Military Medical Academy
Russian Federation
Russian Federation
A. N. Shishkevich
Kirov Military Medical Academy
Russian Federation
Russian Federation
A. A. Rud
Kirov Military Medical Academy
Russian Federation
Russian Federation
M. A. Vasiliev
Kirov Military Medical Academy
Russian Federation
Russian Federation
M. B. Borisov
Kirov Military Medical Academy
Russian Federation
Russian Federation
N. G. Bobrovsky
Kirov Military Medical Academy
Russian Federation
Russian Federation
S. V. Nedomolkin
Kirov Military Medical Academy
Russian Federation
Russian Federation
K. N. Alekseev
Kirov Military Medical Academy
Russian Federation
Russian Federation
V. A. Reva
Kirov Military Medical Academy
Russian Federation
Russian Federation
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Review
For citations:
Samokhvalov I.M., Petrov A.N., Erofeev A.A., Shishkevich A.N., Rud A.A., Vasiliev M.A., Borisov M.B., Bobrovsky N.G., Nedomolkin S.V., Alekseev K.N., Reva V.A. IMPLANTATION OF STENTGRAFT BECAUSE OF AORTA RUPTURE IN POLYTRAUMA. Grekov's Bulletin of Surgery. 2013;172(5):101-107. (In Russ.) https://doi.org/10.24884/0042-4625-2013-172-5-101-107
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