Intraoperative rescue extracorporeal membrane oxygenation and damage control during repair of a traumatic aortic injury

A 21-year-old male involved in a motorcycle crash presented with abdominal hemorrhage and a widened mediastinum on chest radiograph. He required an initial exploratory laparotomy for mesenteric injuries. An aortic injury was confirmed on computed tomography imaging and he subsequently underwent atte...

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Detalles Bibliográficos
Autores principales: Lee, Seong K., Gongora, Enrique, O'Donnell, Sean, Carrillo, Eddy H., Sanchez, Rafael, Kiffin, Chauniqua, Davare, Dafney L., Rosenthal, Andrew A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5400449/
https://www.ncbi.nlm.nih.gov/pubmed/28458831
http://dx.doi.org/10.1093/jscr/rjx022
Descripción
Sumario:A 21-year-old male involved in a motorcycle crash presented with abdominal hemorrhage and a widened mediastinum on chest radiograph. He required an initial exploratory laparotomy for mesenteric injuries. An aortic injury was confirmed on computed tomography imaging and he subsequently underwent attempted endovascular repair. During that procedure, the patient experienced massive thoracic hemorrhage with cardiac arrest and profound respiratory failure. Damage-control thoracic surgery and rescue extracorporeal membrane oxygenation were successfully utilized with a favorable outcome.

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