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April 29, 1968

Repair of Traumatic Rupture of the Aortic Arch

Author Affiliations


JAMA. 1968;204(5):404. doi:10.1001/jama.1968.03140180054020

To the Editor:—  Traumatic rupture of the thoracic aorta has interested surgeons for many years. The mechanism and the methods of treatment have been widely discussed. The most common site of injury is at, or just distal to, the left subclavian artery. Traumatic rupture of the transverse portion of the arch is unusual. With reliable and safe techniques of extracorporeal circulation, the treatment of this injury depends largely upon early and precise diagnosis. Perhaps as many as 80% of these patients die immediately.1 However, of those surviving the initial insult, the salvage rate by currently available techniques should be substantial.

Report of a Case:—  A 23-year-old man was seen in the emergency room at 3:37 PM, June 7, 1967, after having been pinned between two trucks in a gravel pit two hours earlier. Initial examination revealed only a contusion over the mid sternum and the right side of the