Hybrid Approach for Treatment of Multiple Traumatic Injuries of the Heart, Aorta, and Abdominal Organs

Seon Hee Kim; Seunghwan Song; Ho Seong Cho; Chan Yong Park

doi:10.5090/kjtcs.2019.52.5.372

Hybrid Approach for Treatment of Multiple Traumatic Injuries of the Heart, Aorta, and Abdominal Organs

Korean J Thorac Cardiovasc Surg. 2019 Oct;52(5):372-375. doi: 10.5090/kjtcs.2019.52.5.372. Epub 2019 Oct 5.

Authors

Seon Hee Kim¹, Seunghwan Song², Ho Seong Cho², Chan Yong Park³

Affiliations

¹ Department of Trauma and Surgical Critical Care, Pusan National University Hospital Trauma Center, Pusan National University School of Medicine and Biomedical Research Institute, Busan, Korea.
² Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Pusan National University School of Medicine and Biomedical Research Institute, Busan, Korea.
³ Department of Trauma, Wonkwang University Hospital Trauma Center, Wonkwang University School of Medicine, Iksan, Korea.

Abstract

A 55-year-old man was admitted to the trauma center after a car accident. Cardiac tamponade, traumatic aortic injury, and hemoperitoneum were diagnosed by ultrasonography. The trauma surgeon, cardiac surgeon, and interventional radiologist discussed the prioritization of interventions. Multi-detector computed tomography was carried out first to determine the severity and extent of the injuries, followed by exploratory sternotomy to repair a left auricle rupture. A damage control laparotomy was then performed to control mesenteric bleeding. Lastly, a descending thoracic aorta injury was treated by endovascular stenting. These procedures were performed in the hybrid-angio room. The patient was discharged on postoperative day 135, without complications.

Keywords: Endovascular procedure; Hybrid operation; Resuscitation; Shock; Trauma; stent.

Publication types

Case Reports