Blunt thoracic aortic injury: challenges of open repair

Thoracic aortic injuries are fatal with less than 50% patients surviving beyond 24 hours even after reaching the hospital if approach is delayed. Rapid transportation, adequate resuscitation, prompt radiological diagnosis, and urgent repair significantly improves outcomes. Even after a food repair,...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Krishnaprasad Bashyal, Uttam Krishna Shrestha, Kajan Raj Shrestha, Dinesh Gurung
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2020
Materias:	Blunt Complications Open repair Thoracic aortic injury Surgery RD1-811
Acceso en línea:	https://doaj.org/article/96b92463199340948dc3df2ee44d7854
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:96b92463199340948dc3df2ee44d7854
record_format	dspace
spelling	oai:doaj.org-article:96b92463199340948dc3df2ee44d78542021-12-05T19:15:41ZBlunt thoracic aortic injury: challenges of open repair10.3126/jssn.v23i1.335571815-39842392-4772https://doaj.org/article/96b92463199340948dc3df2ee44d78542020-12-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/33557https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Thoracic aortic injuries are fatal with less than 50% patients surviving beyond 24 hours even after reaching the hospital if approach is delayed. Rapid transportation, adequate resuscitation, prompt radiological diagnosis, and urgent repair significantly improves outcomes. Even after a food repair, complications such as spinal cord ischemia causing paraplegia and acute lung injury significantly increase the morbidity. Thoracic endovascular repair may appear to be superior to open repair, but its long-term results and efficacy are not well established. We present our experience with open repair in managing this challenging acute emergency and certain measures to avert common but grievous complications. Krishnaprasad BashyalUttam Krishna ShresthaKajan Raj ShresthaDinesh GurungSociety of Surgeons of NepalarticleBluntComplicationsOpen repairThoracic aortic injurySurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 23, Iss 1 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Blunt Complications Open repair Thoracic aortic injury Surgery RD1-811
spellingShingle	Blunt Complications Open repair Thoracic aortic injury Surgery RD1-811 Krishnaprasad Bashyal Uttam Krishna Shrestha Kajan Raj Shrestha Dinesh Gurung Blunt thoracic aortic injury: challenges of open repair
description	Thoracic aortic injuries are fatal with less than 50% patients surviving beyond 24 hours even after reaching the hospital if approach is delayed. Rapid transportation, adequate resuscitation, prompt radiological diagnosis, and urgent repair significantly improves outcomes. Even after a food repair, complications such as spinal cord ischemia causing paraplegia and acute lung injury significantly increase the morbidity. Thoracic endovascular repair may appear to be superior to open repair, but its long-term results and efficacy are not well established. We present our experience with open repair in managing this challenging acute emergency and certain measures to avert common but grievous complications.
format	article
author	Krishnaprasad Bashyal Uttam Krishna Shrestha Kajan Raj Shrestha Dinesh Gurung
author_facet	Krishnaprasad Bashyal Uttam Krishna Shrestha Kajan Raj Shrestha Dinesh Gurung
author_sort	Krishnaprasad Bashyal
title	Blunt thoracic aortic injury: challenges of open repair
title_short	Blunt thoracic aortic injury: challenges of open repair
title_full	Blunt thoracic aortic injury: challenges of open repair
title_fullStr	Blunt thoracic aortic injury: challenges of open repair
title_full_unstemmed	Blunt thoracic aortic injury: challenges of open repair
title_sort	blunt thoracic aortic injury: challenges of open repair
publisher	Society of Surgeons of Nepal
publishDate	2020
url	https://doaj.org/article/96b92463199340948dc3df2ee44d7854
work_keys_str_mv	AT krishnaprasadbashyal bluntthoracicaorticinjurychallengesofopenrepair AT uttamkrishnashrestha bluntthoracicaorticinjurychallengesofopenrepair AT kajanrajshrestha bluntthoracicaorticinjurychallengesofopenrepair AT dineshgurung bluntthoracicaorticinjurychallengesofopenrepair
_version_	1718371080658223104

Blunt thoracic aortic injury: challenges of open repair

Ejemplares similares