How do you fix an aortic injury?

The operative approach depends on the location of the injury. For ascending aorta or arch injury, repairs are accomplished via a median sternotomy, accompanied by cardiopulmonary bypass (CPB). Although primary repair is sometimes an option, frequently a Dacron tube graft is needed for the ascending aorta.

Which valves can be fractured?

Aortic surgical valves that can be fractured (along with their fracture threshold) include the Magna (22-24 Atm, Edwards Lifesciences), Magna Ease (18 Atm, Edwards Lifesciences), Perimount 2800 (20 Atm, Edwards Lifesciences), Mitroflow (12 Atm, Sorin Group), Mosaic (10 Atm, Medtronic), and Biocor Epic (8, Atm, Abbott) …

What happens if the aorta is punctured?

Penetrating trauma happens when the aorta is directly punctured or cut. These injuries often cause extensive bleeding. Sometimes the surrounding tissues of the aorta can contain bleeding, allowing patients to survive long enough to reach medical attention.

What is the most common site of aortic injury?

The most common sites of injury are the following: Aortic isthmus. Just distal to the origin of the left subclavian artery. This is the transition zone between the mobile ascending aorta and the relatively fixed descending aorta.

What causes damage to the aorta?

Some of the things that may raise your risk of aortic dissection include: Uncontrolled high blood pressure (hypertension) Hardening of the arteries (atherosclerosis) Weakened and bulging artery (aortic aneurysm)

Can a fall cause aortic dissection?

Traumatic aortic transection, also known as aortic rupture, is the near-complete tear through all the layers of the aorta due to trauma such as that sustained in a motor vehicle collision or a fall. This condition is most often lethal and requires immediate medical attention.

What is a valve fracture?

Bioprosthetic valve fracture (BVF) is a method to facilitate ViV TAVR in which the surgical valve ring is fractured with high-pressure balloon inflation, allowing for more optimal THV expansion, thus significantly improving postprocedural gradients and EOA.

What is Viv Tavr?

Valve-in-valve (VIV) transcatheter aortic valve replacement (TAVR) has been established as a safe and effective means of treating failed surgical bioprosthetic valves (BPVs) in patients at high risk for complications related to reoperation.

How long can you live with torn aorta?

Short-term and long-term survival rates after acute type A aortic dissection (TA-AAD) are unknown. Previous studies have reported survival rates between 52% and 94% at 1 year and between 45% and 88% at 5 years.

Where is a aorta?

This artery is responsible for transporting oxygen rich blood from your heart to the rest of your body. The aorta begins at the left ventricle of the heart, extending upward into the chest to form an arch. It then continues downward into the abdomen, where it branches into the iliac arteries just above the pelvis.