Purposeful delay in the repair of a traumatic rupture of the aorta with coexistent liver injury.

Klena, J W; Shweiki, E; Woods, E L; Indeck, M · Ann Thorac Surg · 1998

case_report · Level V

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Abstract

Purposeful delay in the repair of traumatic aortic injury by appropriate medical management is indicated when the risk of immediate thoracotomy is high. A grade V liver injury implies parenchymal disruption of greater than 75% of a hepatic lobe. We report the successful management of a patient with a class IB proximal descending aortic transection and concomitant grade V liver injury that precluded aortic repair until its resolution.

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