• Ombretta Martinelli, Alban Malaj, Bruno Gossetti, Giovanni Bertoletti, Luciano Bresadola, and Luigi Irace.
• Department of Vascular Surgery, Policlinico Umberto I Hospital, Sapienza University, Rome, Italy. ombretta.martinelli@uniroma1.it
• J. Vasc. Surg. 2013 Sep 1;58(3):832-5.

AbstractThoracic aorta blunt injury (BAI) is a highly lethal lesion. A large number of victims die before obtaining emergency care. Thoracic endovascular aneurysm repair (TEVAR) is a less invasive method compared with open surgery and may change protocols for BAI treatment. This retrospective study was developed to evaluate the potential issues about thoracic endografting in the management of these patients. Twenty-seven patients with a BAI underwent aortic stent grafting. Intervention was preceded by the treatment of more urgent associated lesions in nine cases. In-hospital mortality was 7.4%. No paraplegia or ischemic complications developed because of the coverage of the left subclavian artery. In one case (3.2%), a type I endoleak was detected, proximal endograft infolding in two cases (7.4%) and endograft distal migration in further two cases were detected during follow-up (6-110 months). Thoracic endovascular aneurysm repair of BAI showed encouraging results in terms of perioperative mortality and morbidity. Concerns still remain about the potential mid- and long-term complications in younger patients.Copyright © 2013 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.

45 keywords...

hide…