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.
Stevens
Randy M
RM
Department of Surgery, University of Miami/Jackson Memorial Hospital, Miami, Florida 33136, USA. rstevens2@um-jmh.org
Tehrani
Hassan
H
Shaw
Jason
J
Medina
Andres
A
Calcaterra
Dominico
D
Katariya
Kushagra
K
Williams
Donald
D
Panos
Anthony L
AL
Salerno
Tomas A
TA
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*