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

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Presentation on theme: "Acute traumatic aortic aneurysm: The Duke experience from 1970 to 1990"— Presentation transcript:

1 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 (February 1992) DOI: / (92) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

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

3 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  , DOI: ( / (92) ) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

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

5 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  , DOI: ( / (92) ) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

6 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  , DOI: ( / (92) ) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

7 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  , DOI: ( / (92) ) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions


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