{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T06:05:17Z","timestamp":1760249117194},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[1989,1,1]],"date-time":"1989-01-01T00:00:00Z","timestamp":599616000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1989,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>During the last 10 years (1975\u20131985), a total of 18 cases of posttraumatic aneurysm at the level of the thoracic isthmus were operated on. Six of the 18 were women (19\u201371 years of age) and 12 were men (17\u201361 years of age). The mean age at the time of injury was, respectively, 22 and 25.8 years and, at the time of operation, 34.5 and 35.5 years. The patients were all involved in a motor vehicle accident, except for 2 (1 falling, 1 crushing)<\/jats:bold>.<\/jats:p><jats:p><jats:bold>Thirty\u2010nine percent of the patients had no apparent thoracic injury and 89% had associated injuries (bony fractures, craniofacial, visceral and abdominal). Eight of the 18 were asymptomatic at the time of operation, the others had various symptoms (pain, fever, dyspnea, cough, hoarseness, murmur, or hemoptysis). Enlargement of the aortic button was present in every case<\/jats:bold>.<\/jats:p><jats:p><jats:bold>Seventeen patients were operated on electively from 4\u00a0months to 50 years after the injury. Circumferential rupture was total in 9 patients and partial (2\/3 to 9\/10) in the others. Complete repair was done by either prosthetic Dacron<\/jats:bold><jats:sup><jats:bold>\u00ae<\/jats:bold><\/jats:sup><jats:bold>tube (3), Dacron<\/jats:bold><jats:sup><jats:bold>\u00ae<\/jats:bold><\/jats:sup><jats:bold>patch (2), or direct suture (12). Protection by femoro\u2010femoral bypass was used in 3 and simple aortic cross\u2010clamp was used in 14. Mean time of aortic cross\u2010clamp was 36.9\u00a0minutes (range, 16\u201380\u00a0min)<\/jats:bold>.<\/jats:p><jats:p><jats:bold>Among these 17 patients, there was no hospital mortality and no late death. One patient had regressive paraplegia. One patient was submitted to an emergency operation for an intrapulmonary rupture of an infected aneurysm and died in the operating room before completion of the repair<\/jats:bold>.<\/jats:p><jats:p><jats:bold>Due to the lethal risk of rupture, traumatic aneurysms of the thoracic aorta have to be looked for systematically and treated surgically<\/jats:bold>.<\/jats:p>","DOI":"10.1007\/bf01671169","type":"journal-article","created":{"date-parts":[[2005,5,9]],"date-time":"2005-05-09T09:27:33Z","timestamp":1115630853000},"page":"112-116","source":"Crossref","is-referenced-by-count":10,"title":["Chronic traumatic aneurysms of the thoracic aorta"],"prefix":"10.1002","volume":"13","author":[{"given":"Andr\u00e9","family":"Th\u00e9venet","sequence":"first","affiliation":[{"name":"Service de Chirurgie Thoracique et Cardio Vasculaire H\u00f4pital Aiguelongue\u2010C.H.U. 34059 Montpellier Cedex France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claude","family":"Du Cailar","sequence":"additional","affiliation":[{"name":"Service de Chirurgie Thoracique et Cardio Vasculaire H\u00f4pital Aiguelongue\u2010C.H.U. 34059 Montpellier Cedex France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1989,1]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"516","article-title":"The natural history of traumatic aneurysms of the aorta","volume":"61","author":"Bennet D.E.","year":"1967","journal-title":"Surgery"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)39042-7"},{"key":"e_1_2_1_4_1","first-page":"69","article-title":"Les ruptures traumatiques de l'aorte thoracique et leur traitement chirurgical","volume":"14","author":"Th\u00e9venet A.","year":"1975","journal-title":"Ann Chir. 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Mal Coeur"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-197904000-00006"},{"key":"e_1_2_1_12_1","first-page":"244","article-title":"Rupture of the thoracic aorta: Emergency treatment and management of chronic aneurysms","volume":"11","author":"Grande A.M.","year":"1984","journal-title":"Tex. Heart Inst. J."},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.82.5.590"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-6196(12)60299-7"},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)60100-2"},{"key":"e_1_2_1_16_1","first-page":"521","article-title":"Les complications m\u00e9dullaires de la chirurgie du thorax, de l'aorte et de ses branches","volume":"34","author":"Merlier M.","year":"1980","journal-title":"Ann. Chir. Thorac. Cardiovasc."},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)61083-1"},{"key":"e_1_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02393510"},{"key":"e_1_2_1_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01656335"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/BF01671169.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/BF01671169\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/BF01671169","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T15:09:50Z","timestamp":1704985790000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/BF01671169"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1989,1]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1989,1]]}},"alternative-id":["10.1007\/BF01671169"],"URL":"https:\/\/doi.org\/10.1007\/bf01671169","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[1989,1]]}}}