title: Immediate endovascular repair for descending thoracic aortic transection secondary to blunt trauma.
abstract: OBJECTIVE
  To report the immediate endovascular treatment of a thoracic aortic tear secondary to blunt trauma.
  
  
  RESULTS
  A 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.
  
  
  CONCLUSIONS
  Endoluminal techniques can be used successfully in the immediate repair of thoracic aortic injuries.
authors.affiliation: Department of Cardiovascular and Endovascular Surgery, Arizona Heart Institute and Arizona Heart Hospital, Phoenix 85006, USA.
authors.forename: A C
authors.initials: AC
authors.lastname: Lobato
authors.forename: R C
authors.initials: RC
authors.lastname: Quick
authors.forename: B
authors.initials: B
authors.lastname: Phillips
authors.forename: M
authors.initials: M
authors.lastname: Vranic
authors.forename: J
authors.initials: J
authors.lastname: Rodriguez-Lopez
authors.forename: M
authors.initials: M
authors.lastname: Douglas
authors.forename: E B
authors.initials: EB
authors.lastname: Diethrich
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D001013:Aorta, Thoracic / Q000293:injuries*; D001019:Aortic Rupture / Q000517:prevention & control; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D008297:Male; D011138:Polytetrafluoroethylene; D015607:Stents; D013898:Thoracic Injuries / Q000150:complications*; D014949:Wounds, Nonpenetrating / Q000150:complications*
chemical_list: D011138:Polytetrafluoroethylene