Endovascular repair of blunt thoracic aortic injury

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...

endovascular repair of blunt traumatic thoracic aortic injuries

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...

Percutaneous endovascular repair of blunt thoracic aortic transection.

BACKGROUND Untreated traumatic aortic transection carries a mortality rate higher than 85%. Standard therapy has been open repair via a left thoracotomy with systemic heparin and is associated with a high risk of paralysis. We reviewed our experience of endoluminal stent-graft repair for treatment of acute traumatic thoracic aortic transection. METHODS Between February 2001 and February 2005,...

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...