Mitchell R L, Enright L P
Surg Gynecol Obstet. 1983 Jul;157(1):1-4.
The clinical diagnosis of traumatic descending thoracic aortic aneurysm is not obvious but is usually suggested on a roentgenogram of the chest. The diagnosis, therefore, is based upon a high index of suspicion and confirmed by an angiogram. Femoral-femoral bypass is a safe approach, assuring adequate distal perfusion and, thereby, avoiding problems of ischemia. By assuring adequate distal perfusion and preserving all possible intercostal arteries, spinal cord injury was avoided in this series.
创伤性降主动脉瘤的临床诊断并不明显，但通常在胸部X线片上有所提示。因此，诊断基于高度的怀疑指数，并通过血管造影来证实。股-股旁路是一种安全的方法，可确保足够的远端灌注，从而避免缺血问题。通过确保足够的远端灌注并保留所有可能的肋间动脉，本系列中避免了脊髓损伤。
