Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic Injury: A Report of Three Cases in Which Surgeries Were Performed at Different Timings

Case Reports in Surgery
Yohei KawataniTakaki Hori

Abstract

Blunt thoracic aortic injury (BTAI) is a critical condition. Thoracic endovascular aortic repair (TEVAR) is considered a surgical treatment for BTAI. Reports reveal that some patients benefit from conservative and delayed operation rather than emergency operative therapy. Here, we present three BTAI cases that were treated with TEVAR using different timings. Case 1 involved a 49-year-old man injured in a car accident and who went into shock. After stabilization with Advanced Trauma Life Support in the emergency room, TEVAR was performed immediately. Case 2 involved a 69-year-old man who was injured after falling. His hemodynamic status was stable and enhanced computed tomography revealed intraluminal hematoma. He underwent TEVAR 15 days after the injury occurred, following conservative therapy. Case 3 involved a 60-year-old man who was injured in a car accident and presented BTAI with subarachnoid hemorrhage and diaphragm tear. A pseudoaneurysm was observed in the distal aortic arch. After open abdominal exploration, diaphragm repair, and observation for subarachnoid hemorrhage, TEVAR was performed 8 hours after arrival. All three patients survived. We treated BTAI successfully. We suggest that TEVAR is useful for BTAI. The tim...Continue Reading

References

Mar 1, 1977·The British Journal of Surgery·S Sevitt
Nov 1, 1994·The Annals of Thoracic Surgery·S B RizoliR Maggisano
Jan 1, 1964·Acta Pathologica Et Microbiologica Scandinavica·J LUNDERVALL
Mar 7, 2006·The Journal of Thoracic and Cardiovascular Surgery·Judy CookRiyad Karmy-Jones
Mar 12, 2008·The Journal of Trauma·Demetrios DemetriadesUNKNOWN American Association for the Surgery of Trauma Thoracic Aortic Injury Study Group
Nov 15, 2008·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R FattoriR Di Bartolomeo
Dec 4, 2014·The Journal of Thoracic and Cardiovascular Surgery·Nimesh D DesaiJoseph E Bavaria

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Methods Mentioned

BETA
sedation
dissection

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Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

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