Splenic Injury during Replacement of the Thoracoabdominal Aorta

Masaaki Naganuma, Makoto Takahashi, Naoya Terao, Hiroki Takaya, Koyu Watanabe, Yusuke Suzuki, Ichiro Yoshioka, Goro Takahashi, Masatoshi Akiyama, Kiichiro Kumagai, Osamu Adachi, Yoshikatsu Saiki

Research output: Contribution to journalArticle

Abstract

Extraperitoneal approach is commonly employed for thoracoabdominal aortic repair via Stoney incision. It is supposedly rare to encounter abdominal visceral bleeding during that procedure. However, the spleen may spontaneously adhere to the adjacent peritoneum, which could induce incidental injury to the spleen by its anterior mobilization during extraperitoneal approach. Unless we bare its potential risk in mind, bleeding from the spleen may be overlooked, which results in hemodynamic deterioration. We have experienced 3 cases of splenic injury that necessitated hemostatic maneuvers for bleeding during and just after the thoracoabdominal aortic repair.

Original languageEnglish
Pages (from-to)104-107
Number of pages4
JournalKyobu geka. The Japanese journal of thoracic surgery
Volume72
Issue number2
Publication statusPublished - 2019 Feb 1

ASJC Scopus subject areas

  • Medicine(all)

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