Blunt traumatic aortic transection: endoluminal repair with commercially available aortic cuffs.
Blunt traumatic aortic transection remains a lethal condition. Treatment requires a high index of suspicion, prompt diagnosis, and expedient operative repair. Even in the best of circumstances, morbidity and mortality associated with open surgical repair are high, particularly because of frequent occurrence of other severe associated injuries. Endoluminal aortic stent-graft repair is an accepted treatment option in patients with aneurysm degeneration, and may be an alternative means of managing contained aortic transection. We describe three cases of blunt traumatic thoracic aortic transection treated with commercially available aortic endoluminal stent grafts.
Sam
Albert
A
Division of Vascular Surgery, Northwestern University Medical School, Chicago, IL 60611, USA.
Kibbe
Melina
M
Matsumura
Jon
J
Eskandari
Mark K
MK
D000063:Accidents, Traffic; D000328:Adult; D017130:Angioplasty / Q000379:methods*; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001027:Aortography; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D015607:Stents; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000150:complications*