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Case Reports
Immediate endovascular repair for descending thoracic aortic transection secondary to blunt trauma.
- A C Lobato, R C Quick, B Phillips, M Vranic, J Rodriguez-Lopez, M Douglas, and E B Diethrich.
- Department of Cardiovascular and Endovascular Surgery, Arizona Heart Institute and Arizona Heart Hospital, Phoenix 85006, USA.
- J. Endovasc. Ther. 2000 Feb 1; 7 (1): 16-20.
PurposeTo report the immediate endovascular treatment of a thoracic aortic tear secondary to blunt trauma.Methods And ResultsA 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.ConclusionsEndoluminal techniques can be used successfully in the immediate repair of thoracic aortic injuries.
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