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  • Title: [Multi-organ ischemia due to traumatic lesion of the descending thoracic aorta--a case-report].
    Author: Nakamura N, Arikawa K, Shimokawa S, Toyohira H, Umebayashi Y, Ishibe R, Tanaka K, Taira A.
    Journal: Rinsho Kyobu Geka; 1994 Dec; 14(6):525-8. PubMed ID: 9423133.
    Abstract:
    This is a case of severe ischemic and reperfusion multi-organ failure due to descending thoracic aortic rupture. A 25 year-old man received a hard blow on his chest in a traffic accident. Chest X-ray, CT scans and aortogram elucidated descending thoracic aortic rupture. Emergency operation was performed 18 hours after the injury. The aortic rupture, 4/5 of the aortic circumference with intact adventitia was seen. The descending aorta 22 distal to the left subclavian artery was repaired under cardio-pulmonary bypass with selective cerebral perfusion. Ischemia due to aortic occlusion with thrombus and reperfusion injury after reconstruction of the aorta connected with rhabdmyolysis and severe multi-organ failure. Intestinal necrosis required laparotomy on the 9th and 15th post operative day. The patient died on 15th postoperative day of multi-organ failure.
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