Stent-graft replacement of chronic traumatic aneurysm of the thoracic aorta after blunt chest trauma.
Chronic traumatic aneurysm of the thoracic aorta is an unusual occurrence. Open-chest surgery for repair of chronic traumatic aneurysms results in mortality rate of 5-18%, and a morbidity rate of 11-50% also. The evolution of endovascular technology offers the promise of a new, less invasive method to achieve aneurysm exclusion. A case of chronic traumatic aneurysm of the near isthmus thoracic aorta discovered on a chest X-ray and evaluated with chest computed tomographic scanning is presented. Stent-grafting procedure is described. Stent-grafting in chronic traumatic aneurysm of the thoracic aorta seems to be a viable minimal invasive therapeutic option for traumatic rupture of the aortic isthmus.
Gawenda
M
M
Department of Visceral and Vascular Surgery, Vascular Centre University of Cologne, Cologne, Germany. Michael.Gawenda@medizin.uni-koeln.de
Landwehr
P
P
Brunkwall
J
J
D000063:Accidents, Traffic; D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D002908:Chronic Disease; D006801:Humans; D008297:Male; D015607:Stents; D013898:Thoracic Injuries / Q000150:complications*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000000981:diagnostic imaging