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The Management of Gunshot Wounds of the Aorta: The Use of Dacron Grafts to Replace the Injured Aorta

The Management of Gunshot Wounds of the Aorta: The Use of Dacron Grafts to Replace the Injured Aorta Abstract Five cases of gunshot wounds of the thoracic and abdominal aorta successfully treated at Detroit General Hospital over the past 2½ years have been presented and the factors influencing their survival discussed. Four patients are alive 3 to 30 months later, and one died from an aorto-esophageal fistula six weeks after discharge from the hospital. The first cases of successful replacement of the injured aorta by a prosthetic aorto-iliac graft are also reported. No infection of the synthetic graft occurred in spite of massive intestinal contamination of the peritoneal cavity during surgery. References 1. Holzer CE Jr: Gunshot wounds involving the abdominal aorta . Surgery 23: 645-652, 1948. 2. Parmley LF, Mattingly TW, Marrion WC: Penetrating wounds of the heart and aorta . Circulation 17:953-973, 1958.Crossref 3. Moore HG, Nyhus LM, Kanar E, et al: Gunshot wounds of major arteries . Surg Gynec Obstet 98:129-147, 1954. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

The Management of Gunshot Wounds of the Aorta: The Use of Dacron Grafts to Replace the Injured Aorta

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References (4)

Publisher
American Medical Association
Copyright
Copyright © 1970 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1970.01340270036010
Publisher site
See Article on Publisher Site

Abstract

Abstract Five cases of gunshot wounds of the thoracic and abdominal aorta successfully treated at Detroit General Hospital over the past 2½ years have been presented and the factors influencing their survival discussed. Four patients are alive 3 to 30 months later, and one died from an aorto-esophageal fistula six weeks after discharge from the hospital. The first cases of successful replacement of the injured aorta by a prosthetic aorto-iliac graft are also reported. No infection of the synthetic graft occurred in spite of massive intestinal contamination of the peritoneal cavity during surgery. References 1. Holzer CE Jr: Gunshot wounds involving the abdominal aorta . Surgery 23: 645-652, 1948. 2. Parmley LF, Mattingly TW, Marrion WC: Penetrating wounds of the heart and aorta . Circulation 17:953-973, 1958.Crossref 3. Moore HG, Nyhus LM, Kanar E, et al: Gunshot wounds of major arteries . Surg Gynec Obstet 98:129-147, 1954.

Journal

Archives of Surgery – American Medical Association

Published: Sep 1, 1970

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