| Difficulties with endograft sizing in a patient with traumatic rupture of the thoracic aorta: the possible influence of hypovolemic shock. | |
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MedLine Citation:
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PMID: 18514848 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A patient with traumatic thoracic injury and hypovolemic shock is presented to stress important differences in preoperative and postoperative aortic diameters. The patient had a blood pressure of 80/40 mm Hg. A diagnostic computed tomography angiography revealed a rupture of the thoracic aorta, and a thoracic endograft was sized based on these data. However, the postoperative computed tomography angiography (Riva-Rocci, 164/70 mm Hg) showed an increase in aortic diameters of about 30% at multiple levels. In this patient, with rupture of the thoracic aorta and hypovolemia, the aortic diameter was significantly decreased. This indicates that adequate preoperative sizing for endovascular repair of vascular pathology in patients in shock is complicated. |
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Authors:
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Joffrey van Prehn; Joost A van Herwaarden; Bart E Muhs; Adam Arnofsky; Frans L Moll; Hence J M Verhagen |
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Publication Detail:
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Type: Case Reports; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of vascular surgery Volume: 47 ISSN: 0741-5214 ISO Abbreviation: J. Vasc. Surg. Publication Date: 2008 Jun |
Date Detail:
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Created Date: 2008-06-02 Completed Date: 2008-07-10 Revised Date: 2012-10-03 |
Medline Journal Info:
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Nlm Unique ID: 8407742 Medline TA: J Vasc Surg Country: United States |
Other Details:
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Languages: eng Pagination: 1333-6 Citation Subset: IM |
Affiliation:
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Department of Vascular Surgery, University Medical Center Utrecht, Utrecht, The Netherlands. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Accidents, Traffic Adult Aorta, Thoracic / injuries*, physiopathology, radiography, surgery* Aortic Rupture / complications, physiopathology, radiography, surgery* Aortography Blood Vessel Prosthesis* Blood Vessel Prosthesis Implantation / instrumentation* Hemodynamics Humans Male Motorcycles Prosthesis Design* Shock / etiology*, physiopathology, radiography, surgery Tomography, X-Ray Computed Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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