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Translation - English We experienced two cases of traumatic thoracic dissection with severe pelvic fracture. The first case was treated with open surgery for the thoracic dissection. Since heparinization was required for the aortic replacement operation, we had to stop the bleeding completely from both internal iliac arteries by transcatheter arterial embolization before the operation. After the emergency operation, severe inflammation occurred, and we were therefore unable to perform the surgery for the pelvic fracture until 38 days after the injury. However, after internal fixation of the pelvis, ischemic soft tissue necrosis arose, which we treated using negative pressure wound therapy and a split-thickness skin graft. Overall, we needed 118 days from the point of injury to complete the surgical procedure. In the second case, we treated the traumatic thoracic dissection with stent grafting. We completed the internal fixation of the pelvis 18 days after the injury with no complications.
Multiple trauma patients require many surgical procedures. It is therefore important to reduce damage stemming from the invasiveness of emergency operations for these patients. If feasible, treatment with stent grafting for traumatic thoracic dissection may reduce the overall treatment term.
Years of experience: 10. Registered at ProZ.com: Sep 2012.