Immediate endovascular repair for descending thoracic aortic transection secondary to blunt trauma.
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.
Lobato
A C
AC
Department of Cardiovascular and Endovascular Surgery, Arizona Heart Institute and Arizona Heart Hospital, Phoenix 85006, USA.
Quick
R C
RC
Phillips
B
B
Vranic
M
M
Rodriguez-Lopez
J
J
Douglas
M
M
Diethrich
E B
EB
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*
D011138:Polytetrafluoroethylene