Case report of cardiac arrest, abdominal compartment syndrome, and thoracic aortic injury with endovascular repair of thoracic aortic tear.
The introduction of thoracic endografts has revolutionized the management of thoracic aortic disease. Currently, endografts are not FDA-approved for treating thoracic aortic injury (TAI). We report a case of TAI who presented in hemorrhagic shock and preoperative cardiac arrest who was successfully treated with large volume resuscitation, closed chest cardiac massage, exploratory laparotomy, and thoracic endografting.
Department of Surgery, University of Miami/Jackson Memorial Hospital, Miami, Florida 33136, USA. rstevens2@um-jmh.org
Randy M
RM
Stevens
Hassan
H
Tehrani
Jason
J
Shaw
Andres
A
Medina
Dominico
D
Calcaterra
Kushagra
K
Katariya
Donald
D
Williams
Anthony L
AL
Panos
Tomas A
TA
Salerno
D000005:Abdomen / Q000601:surgery*; D000328:Adult; D017130:Angioplasty / Q000379:methods*; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D001803:Blood Transfusion; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D003131:Combined Modality Therapy; D003161:Compartment Syndromes / Q000601:surgery*; D006323:Heart Arrest / Q000503:physiopathology*; D006336:Heart Massage; D006491:Hemothorax / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D012151:Resuscitation; D012771:Shock, Hemorrhagic / Q000503:physiopathology; D015607:Stents; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000601:surgery*