Verdant A, Cossette R, Dontigny L, Mercier C, Pagé A, Pagé P, Baillot R
J Trauma. 1985 Jul;25(7):601-7. doi: 10.1097/00005373-198507000-00005.
A 10-year experience in the surgical treatment of traumatic aneurysms of the descending thoracic aorta is reviewed. This series included 40 patients equally divided into two groups. Group I comprised 20 acute ruptures and group II, 20 chronic traumatic aneurysms, all situated at the aortic isthmus. The surgical repair was performed in all patients with a single method of aortic shunting. A Gott aneurysm shunt was used as a temporary external bypass between the ascending and the descending aorta, giving priority to organ protection during aortic cross-clamping. The survival rate was 95% (38/40). The two deaths occurred in the acute group and were related to severe brain trauma present before surgery. The aortic cross-clamping time averaged 43 minutes. Regarding organ protection, no brain damage, no heart failure, no renal dysfunction, and no paraplegia occurred. These results emphasize the safety and the reliability of this shunting procedure.
回顾了10年降主动脉创伤性动脉瘤的外科治疗经验。该系列包括40例患者，平均分为两组。第一组包括20例急性破裂患者，第二组包括20例慢性创伤性动脉瘤患者，均位于主动脉峡部。所有患者均采用单一的主动脉分流方法进行手术修复。使用戈特动脉瘤分流器作为升主动脉和降主动脉之间的临时体外旁路，在主动脉交叉钳夹期间优先保护器官。生存率为95%（38/40）。两例死亡发生在急性组，与术前存在的严重脑损伤有关。主动脉交叉钳夹时间平均为43分钟。在器官保护方面，未发生脑损伤、心力衰竭、肾功能障碍和截瘫。这些结果强调了这种分流手术的安全性和可靠性。
