Immediate Endovascular Repair for Descending Thoracic Aortic Transection Secondary to Blunt Trauma

Armando C. Lobato, Rhonda C. Quick, Bradley J. Phillips, Julio A. Rodriguez‐Lopez, Myles Douglas, Edward B. Diethrich

Journal of Endovascular Therapy · 2000 · 47 citations · 15 references

Concepts

Abstract

PURPOSE: To report the immediate endovascular treatment of a thoracic aortic tear secondary to blunt trauma. METHODS AND RESULTS: A 39-year-old man was injured in a motor vehicle collision. In addition to significant trauma to the head, chest, and abdomen, there were signs of a deceleration injury to the thoracic aorta. After urgent celiotomy to repair a lacerated spleen, the thoracic aortic transection was treated intraluminally using an endograft made of Gianturco Z-stents covered with polytetrafluoroethylene. The patient recovered from his injuries, and the thoracic endograft shows no evidence of endoleak 7 months after treatment. CONCLUSIONS: Endoluminal techniques can be used successfully in the immediate repair of thoracic aortic injuries.

References

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