Emergency endovascular treatment of traumatic aortic arch rupture with multiple arch vessel involvement.
OBJECTIVE
To report successful endovascular stent-graft placement for emergency treatment of a complex traumatic injury involving the aortic arch and multiple arch vessels.


METHODS
An 81-year-old man underwent stent-graft placement for a complex traumatic vascular injury. Computed tomography on admission documented a dissection along the course of the aortic arch, intramural hematoma along the ascending aorta, dissection of the innominate artery, and a right subclavian artery pseudoaneurysm. The dissection of the aortic arch and the pseudoaneurysm of the right subclavian artery were treated immediately, the dissection of the innominate artery 7 days later. The patient did not develop any complications. Follow-up studies performed prior to discharge and at 6 and 12 months after the interventions showed successful repair of the complex vascular injuries.


CONCLUSIONS
Traumatic injury of the aortic arch with multiple arch vessel involvement can be treated effectively by means of stent-graft placement.
Waldenberger
Peter
P
Department of Radiology, University Hospital of Innsbruck, Austria.
Fraedrich
Gustav
G
Mallouhi
Ammar
A
Jaschke
Werner R
WR
Perkmann
Reinhold
R
Jung
Tarzis
T
Czermak
Benedikt V
BV
D000063:Accidents, Traffic; D000368:Aged; D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D016122:Brachiocephalic Trunk / Q000293:injuries; D004630:Emergencies; D006801:Humans; D008297:Male; D015607:Stents; D013350:Subclavian Vein / Q000293:injuries; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*