Mehmet ÖZKÖKELİ, Hasan SUNAR, Rahmi ZEYBEK, Altuğ TUNCER, Ahmet ŞAŞMAZEL, Saleh ALSALEHI

Travmatik aortik rüptür ve cerrahi onarım

Travma, dünya genelinde 35 yaş altı ölümlerin en büyük nedenidir. Travmatik aortik yırtık, bütün karayolu kaza mortalitesinin %18inden sorumludur. Bu hastaların %80i, kaza bölgesinde ölür. Sağ kalanların da %50si, tedavi edilmeden bırakılmaları durumunda 24 saat içinde ölür. Nadir olarak künt göğüs travması ile ilişkili posttravmatik aort psödoanevrizması gelişebilir. Hızlı transport ve resüsitasyon, travma konusunda bilinçli davranma, çokkesitli bilgisayarlı tomografi olanağı ve zamanında girişim, aortik yaralanmadaki mortaliteyi anlamlı şekilde azaltmaktadır. Bu çalışmada araç içi trafik kazasından sonra aort psödoanevrizması gelişen ve kardiyopulmoner baypas tekniği kullanılarak onarım yapılan 33 yaşında bir erkek olgu sunuldu.

Traumatic aortic rupture and surgical repair

Trauma is the leading cause of death under the age of 35 years worldwide. Traumatic aortic rupture accounts for 18% of all road traffic accident mortality. Eighty percent of these patients die at the scene of the accident. Of the survivors, 50% die within 24 hours, if left untreated. Rarely, an aortic pseudoaneurysm related to blunt chest trauma may develop. Rapid transport and resuscitation, awareness of the injury, availability of multi-slice computed tomog raphy a nd ti mely inter vention can significantly reduce mortality in aortic injury. We present a 33-year-old male patient with an aortic pseudoaneurysm which developed after an automobile accident and treated surgically using cardiopulmonary bypass technique.

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