• Ulus Travma Acil Cer · Mar 2012

    Case Reports

    [Endovascular repair for an acute traumatic aortic transection: a case report].

    • Soner Sanioğlu, Sinan Sahin, Hakki Aydoğan, Hakan Barutça, and Ergin Eren.
    • Dr. Siyami Ersek Göğös Kalp Damar Cerrahisi Eğitim ve Araştirma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, Istanbul, Turkey. sanioglu@gmail.com
    • Ulus Travma Acil Cer. 2012 Mar 1; 18 (2): 178-80.

    AbstractA thirty-eight-year-old male patient who suffered from 10th and 11th thoracal vertebrae fractures, paraplegia and acute traumatic aortic transection because of accidental fall was referred to our hospital. Open surgical repair carried a very high risk due to severe coexisting injuries. Transection was treated with 30x100 mm Valiant thoracic endograft, which was deployed just distal to the ostium of the left carotid artery. The patient was transferred to the neurosurgery clinic for treatment of paraplegia after an uneventful recovery. Endovascular repair of acute transection confers substantial advantages in mortality and morbidity compared to surgical repair. However, the long-term durability of thoracic endografts remains unknown. If the long-term results are as satisfactory as the promising mid-term results, this technique may become the gold standard approach for the treatment of acute transection.

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