Acute traumatic aortic aneurysm: The Duke experience from 1970 to 1990

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Presentation transcript:

Acute traumatic aortic aneurysm: The Duke experience from 1970 to 1990 Francis G. Duhaylongsod, MD, Donald D. Glower, MD, Walter G. Wolfe, MD Journal of Vascular Surgery Volume 15, Issue 2, Pages 331-343 (February 1992) DOI: 10.1016/0741-5214(92)90255-7 Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Duke University Medical Center: Acute traumatic TAA data base. (Only parameters relevant to present study shown.) Journal of Vascular Surgery 1992 15, 331-343DOI: (10.1016/0741-5214(92)90255-7) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Mechanism of injury in patients with TAA. Duke University Medical Center (Duke) and surgical literature (Lit) from 1970–1990. MVA, Motor vehicle accident; MCA, motorcycle accident; PEDS, pedestrian versus motor vehicle; FALL, fall from a height. *Fisher's exact test. p = 0.03 for MCA values. Journal of Vascular Surgery 1992 15, 331-343DOI: (10.1016/0741-5214(92)90255-7) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Adjunctive techniques and clamp/repair in patients with TAA (frequency of use during associated time interval). Journal of Vascular Surgery 1992 15, 331-343DOI: (10.1016/0741-5214(92)90255-7) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 Aortic cross-clamp time versus adjunctive techniques and clamp/repair in patients with TAA. Each patient represented by a circle; darkened circles represent patients developing postoperative paraplegia; mean aortic cross-clamp time indicated. No significant difference noted between groups (one-way ANOVA). Journal of Vascular Surgery 1992 15, 331-343DOI: (10.1016/0741-5214(92)90255-7) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 5 Hospital deaths and cause of death by time interval from injury to aortic repair in patients with TAA (n = 93) (number of deaths/number at risk). Journal of Vascular Surgery 1992 15, 331-343DOI: (10.1016/0741-5214(92)90255-7) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 6 Number of hospital deaths by time interval from injury to death. A bimodal distribution identifies two populations among patients with acute traumatic thoracic aortic aneurysm (TAA) (open circle, 1970 to 1979; closed circle 1980 to 1990). Journal of Vascular Surgery 1992 15, 331-343DOI: (10.1016/0741-5214(92)90255-7) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions