Surgical treatment of false post-traumatic aneurysm of the aortic arch with arteriovenous anastomosis
Belov, I.V.; Stepanenko, A.B.; Gens, A.P.; Savichev, D.D.
Angiologiia i Sosudistaia Khirurgiia 12(2): 127-131
2006
ISSN/ISBN: 1027-6661 PMID: 17053774 Document Number: 601387
Traumatic injuries to the thoracic aorta consequent on closed chest traumas present an extremely severe and unfavourable condition as regards natural history. One of the specific disease variants lies in the formation of false post-traumatic aortic aneurysm with an arteriovenous fistula. In the presence of post-traumatic aneurysm of the thoracic aorta with an arteriovenous fistula, the disease course may be complicated by the phenomena of circulatory decompensation. Taking into account certain features of the morphology and pathogenesis of the given disease, surgical interventions require strict adherence to a number of the rules which make it possible to avoid intraoperative aneurysmal rupture. The present paper describes a case of successful surgical treatment of acute false post-traumatic aneurysm of the aortic arch with an arteriovenous fistula under profound hypothermia and circulatory arrest. Presented herein is also a review of the literature concerned with the topic.