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Home > Images > Aortic Arch stab wound - Pledget repair

César Benítez Pozo ,Victor Vasquez ,Pamela Pedrero ,José Salinas .Equipo Cirugia Torax y Cardiaca y S Urgencia Hospital San Juan de Dios Universidad de Chile .Santiago de Chile

Full cervicosternotomy exposure revealing hematoma in the ascending and aortic arch ,innominate trunk and left common carotid artery. Innominate vein repair done with a running prolene 5-0 suture and the aortic arch with a pledget suture.

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conght1, November 14, 2011

Excellent work Did you decrease bp the when you put the stitches in the aorta sometime it works better for the stitches tearing through in my experience and pericardial pledgets has helped me. Did you use any patch material on the vein

cebepoj, Guayaquil Ecuador, December 19, 2011

Thanks .
I used permisive hipotension for a aorta repair ,
also used pericardial pledgets ,an the vein in these case:primary repair , in other case repair with safena path .

conght1, December 22, 2011

great to see such good work because many can not work under such pressure if you ever have a seminar let me know

cebepoj, Guayaquil Ecuador, December 22, 2011

Ok ..
my email. ist .  .(JavaScript must be enabled to view this email address)

yigitozgun, January 14, 2012

Great job.
I wonder that did you make any previous examinations like CT or Anjio? or made an emergengy sternotomy?

cebepoj, Guayaquil Ecuador, January 23, 2012

Thank you, in this case we proceeded with immediate surgical exploration since the entry was presented with signs of arterial injury drives: active arterial bleeding for cutaneous wound and shock did not respond to correction of volume.Proceed with a cervico esternotomy for a full access .

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