title: Delayed treatment of contained blunt traumatic aortic rupture: a case of rupture treated by endoprosthesis.
abstract: A 45-year-old man sustained an intracerebral frontal hematoma and a contained aortic isthmic rupture in a head-on automobile collision. Due to the intracerebral hemorrhage, open repair was contraindicated. Treatment with a stent graft was selected but delayed until the next morning, because the correct stent size was unavailable. Two hours before the time scheduled for surgery, the patient experienced oxygenation problems and became hypotensive. Chest radiography revealed a new, severe left hemothorax. Fortunately, the stent graft had just arrived from the manufacturer, and it was deployed to seal the ruptured aorta. Immediate angiography showed good stent-graft position without any endoleak as did a computed tomographic scan 2 days after the procedure. The patient was transferred to a rehabilitation unit to recover from his neurologic trauma. A 3-month follow-up computed tomographic scan showed the patient's condition to be unchanged.
authors.affiliation: Department of Cardiovascular Surgery, Laval Hospital, 2725 chemin Sainte-Foy, Sainte-Foy, G1V 4G5 Quebec, Canada. dagenaisf@hotmail.com
authors.forename: François
authors.initials: F
authors.lastname: Dagenais
authors.forename: Richard
authors.initials: R
authors.lastname: Bauset
authors.forename: Roc
authors.initials: R
authors.lastname: Turcotte
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Normand
mesh_terms: D001019:Aortic Rupture / Q000209:etiology* / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D013997:Time Factors; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000601:surgery*