Blunt traumatic aortic injury: Initial experience with endovascular repair

endovascular repair of blunt traumatic thoracic aortic injuries

Endovascular Repair of Blunt Traumatic Thoracic Aortic Injuries

A 42-year-old female is involved in a motor vehicle accident and presents with a number of injuries. She is hemodynamically stable and is found to have multiple rib fractures, a hemopneumothorax, and several uncomplicated long bone fractures. A CT scan of her chest reveals a traumatic injury to her proximal descending thoracic aorta with evidence of pseudoaneurysm formation and surrounding hema...

Blunt Traumatic Aortic Injury

Introduction Blunt Traumatic Aortic Injury (BTAI) refers to tearing of the wall of the aorta, a serious, often fatal, injury that occurs during severe automobile collisions. BTAI is one of the most common causes of death in road traffic accidents [1], and may be caused by other impacts, such as in fall victims. Despite 150 years of speculation on the subject, however, there is still widespread ...

Endovascular versus open surgical repair for blunt thoracic aortic injury.

A best evidence topic in vascular surgery was written according to a structured protocol. The question addressed was whether patients with acute traumatic thoracic aortic injury have a better outcome with endovascular or open surgical repair. Altogether, 283 papers were found using the reported search, of which five represented the best evidence to answer the clinical question. The author, jour...

Thoracic Endovascular Aortic Repair (TEVAR) in traumatic high-velocity blunt injury to thoracic aorta.

Blunt trauma to the thoracic aorta occurs typically in a highvelocity or high-impact motor vehicle accident when there is a combination of sudden deceleration and shearing at the relatively immobile aortic isthmus; the area distal to the left subclavian artery and proximal to the third inter-costal artery, representing the junction between the relatively mobile aortic arch and the fixed descend...