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September 1970

The Management of Gunshot Wounds of the Aorta: The Use of Dacron Grafts to Replace the Injured Aorta

Author Affiliations

From the departments of surgery at Wayne State University School of Medicine and Detroit General Hospital, Detroit. Dr. Fromm is now at the University of Puerto Rico School of Medicine and San Juan Veterans Administration Hospital, San Juan, PR.

Arch Surg. 1970;101(3):388-390. doi:10.1001/archsurg.1970.01340270036010

Five cases of gunshot wounds of the thoracic and abdominal aorta successfully treated at Detroit General Hospital over the past 2½ years have been presented and the factors influencing their survival discussed. Four patients are alive 3 to 30 months later, and one died from an aorto-esophageal fistula six weeks after discharge from the hospital. The first cases of successful replacement of the injured aorta by a prosthetic aorto-iliac graft are also reported. No infection of the synthetic graft occurred in spite of massive intestinal contamination of the peritoneal cavity during surgery.

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