• Medicina intensiva · May 2008

    Case Reports

    [Management of thoracic aorta traumatism in 5 multiple traumatized patients].

    • P Ortiz, A Taché, J M Sirvent, A Bonet, M Febrer, and O Andrés.
    • Servicio de Medicina Intensiva. Hospital Universitari de Girona Doctor Josep Trueta. Girona. España. ballujera@hotmail.com.
    • Med Intensiva. 2008 May 1; 32 (4): 194-7.

    AbstractThoracic aorta traumatism is a lesion associated to high morbidity-mortality at the site of the accident. In the 90's, treatment by placement of an endovascular stent was generalized with good results. In this work, we present a series of 5 clinical cases of patients admitted to the Intensive Care Unit of our hospital during the year 2006. Out of a total of 619 patients admitted in the same period, 121 (19.5%) were traumatic and 5 (4.13%) had thoracic aorta traumatisms. All of the patients were diagnosed by thoracic helical computed tomography on admission. Four patients had a pseudoaneurism of the aorta and underwent an operation. Three received endovascular treatment within the first 36 hours and the fourth on day 28 of admission. The fifth patient had a lesion of the intima and was not operated on. Posterior evolution was good in all the cases.

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